Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deidra Dawn Parks, MSCCC/SLP

Individual provider Speech-Language Pathologist · NPI 1508012352

Deidra Dawn Parks, MSCCC/SLP is a Speech-Language Pathologist in Mount Vernon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

16721 E Kendall Rd
Mount Vernon, IL 62864-2077
Phone: (618) 214-2883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.005992 (IL)

Record details

NPI number1508012352
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC/SLP
Sole proprietorYes
NPI enumeratedAugust 12, 2008
Last updated in NPPESAugust 12, 2008

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