Individual
ROGER L PARKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
15127 S 73RD AVE, SUITE G, ORLAND PARK, IL 60462
(616) 942-8060
(616) 942-6690
Mailing address
PO BOX 1251, MIDDLETOWN, OH 45042-1251
(616) 942-8060
(616) 942-6690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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