SearchIllinois235Z00000X

Deidra Parks, M.S. CCC/SLP

NPI 1508012352 · on the registry since 2008 · sole proprietor

Practice

Address
16721 E Kendall Rd
Mount Vernon, IL 62864
Phone
(618) 214-2883

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois