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DEIDRA DAWN PARKS M.S. CCC/SLP
NPI 1508012352
Speech-Language Pathologist in Mount Vernon, IL

Active since August 12, 2008
16721 E KENDALL RD, MOUNT VERNON, IL 62864(618) 214-2883 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deidra Dawn Parks M.s. Ccc/slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIDRA DAWN PARKS M.S. CCC/SLP (NPI 1508012352) is an individual speech-language pathologist provider in Mount Vernon, Illinois, licensed in Illinois (146.005992) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1508012352
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDEIDRA DAWN PARKSCredential: M.S. CCC/SLP
Location Address16721 E KENDALL RDMount Vernon, IL 62864-2077
Mailing Address16721 E Kendall RdMount Vernon, IL 62864-2077 · (618) 214-2883
Phone(618) 214-2883
Sole ProprietorYes
Enumeration DateAugust 12, 2008
✔ NPI 1508012352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 146.005992
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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
16721 E KENDALL RD, Mount Vernon, IL 62864
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidra Parks's NPI number?

The NPI number for Deidra Parks is 1508012352. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Where is Deidra Parks located?

Deidra Parks practices at 16721 E Kendall Rd, Mount Vernon, IL 62864. The listed phone number is (618) 214-2883.

What is Deidra Parks's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Deidra Parks was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.