DEIDRA DAWN PARKS (M.S. CCC/SLP) – Speech-Language Pathologist, NPI 1508012352

Speech-Language Pathologist

DEIDRA DAWN PARKS (M.S. CCC/SLP) is a healthcare provider. based in Mount vernon, Illinois. specializing in Speech-Language Pathologist. They hold the professional credentials M.S. CCC/SLP. They hold a License No. 146.005992 (IL). The NPI Number for DEIDRA DAWN PARKS (M.S. CCC/SLP) is 1508012352

Main info

Female

Sole Proprietor

Name

DEIDRA DAWN PARKS (M.S. CCC/SLP)

NPI

1508012352

Phone

(618) 214-2883

Address

16721 E KENDALL RD

Enumeration Date

12 August 2008

Last Update Date

12 August 2008

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness75

Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for DEIDRA DAWN PARKS (M.S. CCC/SLP)

16721 E KENDALL RD
MOUNT VERNON, IL 628642077
Phone: (618) 214-2883
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62864)

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Frequently asked questions

What number should I use to identify DEIDRA DAWN PARKS (M.S. CCC/SLP) for billing?

Administrative and clinical systems typically use NPI 1508012352 for DEIDRA DAWN PARKS (M.S. CCC/SLP).

Is DEIDRA DAWN PARKS (M.S. CCC/SLP) currently accepting referrals based on NPI status?

Registry metadata lists DEIDRA DAWN PARKS (M.S. CCC/SLP) as active.

Which specialty label fits DEIDRA DAWN PARKS (M.S. CCC/SLP)?

NPPES ties DEIDRA DAWN PARKS (M.S. CCC/SLP) to Speech-Language Pathologist in the taxonomy section. Clinical services aligned with this taxonomy classification.

Is DEIDRA DAWN PARKS (M.S. CCC/SLP) tied to Mount Vernon, Illinois?

If you are local to Mount Vernon, Illinois, DEIDRA DAWN PARKS (M.S. CCC/SLP) may be relevant to your search.

Can I export DEIDRA DAWN PARKS (M.S. CCC/SLP)'s record?

You can download the official NPPES record; we summarize key fields for readability.