Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE DIANE PARKS, MA, TLLP
Active Sole ProprietorJACQUELINE DIANE PARKS, MA, TLLP is a Psychologist healthcare provider located in SOUTHGATE, Michigan. NPI 1194069500 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SOUTHGATE, MI
Registration Details
- NPI Number
- 1194069500
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 26, 2012 (13.714673988724 yrs)
- Last Updated
- Nov 26, 2012
- License
-
6301015305 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19291 NORTHLINE RDSOUTHGATE, MI, 481952220Browse MI providers · Browse ZIP 48195
- Phone
- 7347857700
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in SOUTHGATE, MI
| Name | Credential | NPI |
|---|---|---|
| DONNA MARIE SMITH | MA, LLP | 1881619575 |
| CAROLE M ROWLAND | PHD | 1568552347 |
| CHERYL B TRIPLETT | PSYS, LLP | 1265506364 |
| MR. GLENN L DERRICK | M.A., L.L.P. | 1922124650 |
| MR. PASQUALE ALBERT VIGNOLA | M.A., L.L.P. | 1306968367 |
| MR. JONATHAN DOUGLAS REDMOND | TLLP | 1699897405 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.