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Contact Information

ROGER L PARKS, PSYD
15127 S 73RD AVE
SUITE G
ORLAND PARK, IL60462
 Phone: 616-942-8060
 Fax: 616-942-6690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROGER L PARKS · (Male)

NPI # 1144282302
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 04/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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