Individual
DR. DAVID W. PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6337 CENTRAL AVE, PORTAGE, IN 46368-3801
(219) 763-1499
(219) 764-7025
Mailing address
6337 CENTRAL AVE, PORTAGE, IN 46368-3801
(219) 763-1499
(219) 764-7025
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040984A
IN
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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