Deidra Dawn Parks, M.S. CCC/SLP
NPI #1508012352 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1508012352
- Entity Type
- Individual
- Name
- Deidra Dawn Parks, M.S. CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC/SLP
- Enumeration Date
- Aug 12, 2008
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 16721 E KENDALL RD
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2077
- Phone
- (618) 214-2883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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