Deidra Dawn Parks in Mount Vernon - Speech-language Pathologist
Deidra Dawn Parks - NPI 1508012352
Deidra Dawn Parks is a Speech-language Pathologist in Mount Vernon, Illinois. Deidra Dawn Parks practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Deidra Dawn Parks is 1508012352. The last update date is 2008-08-12.
Deidra Dawn Parks's current location address is 16721 E Kendall Rd, Mount Vernon, Illinois. You can contact this provider via phone number 6182142883. The mailing address for Deidra Dawn Parks is 16721 E Kendall Rd, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deidra Dawn Parks |
|---|---|
| Address | 16721 E Kendall Rd, Mount Vernon, Illinois |
| Phone Number | 6182142883 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. CCC/S |
NPI Number Detail
| NPI Number | 1508012352 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | 16721 E Kendall Rd |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642077 |
| Phone Number | 6182142883 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 146.005992 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identification code issued to Deidra Dawn Parks by the Centers for Medicare & Medicaid Services?
The Deidra Dawn Parks has been assigned the NPI (National Provider Identifier) 1508012352 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Deidra Dawn Parks?
The Deidra Dawn Parks is physically situated at 16721 E Kendall Rd, in the city of Mount Vernon, state of IL, with the postal code 628642077.
What is Deidra Dawn Parks's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Deidra Dawn Parks is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
On what date did the Deidra Dawn Parks receive the assignment of its 1508012352 from the Centers for Medicare & Medicaid Services?
The Deidra Dawn Parks was issued its 1508012352 by the Centers for Medicare & Medicaid Services on 2008-08-12.
When was the Deidra Dawn Parks's information last updated?
The Deidra Dawn Parks's information was last updated on 2008-08-12.
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