Parks, Deidra Dawn

Parks, Deidra Dawn is an sole proprietor health care provider with primary practice located at 16721 E Kendall Rd , Mount Vernon IL 62864-2077. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Parks, Deidra Dawn can be contacted via phone (618) 214-2883.

Contact Information

Primary practice address
16721 E Kendall Rd Mount Vernon IL 62864-2077
Phone: (618) 214-2883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.005992 Illinois

Profile Details

NPI number 1508012352
LBN Legal business name Parks, Deidra Dawn
Credentials M.S. CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2008
Last updated Aug 12th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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