Individual
DR. EVAN DANIEL PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7777
(231) 258-7786
Mailing address
2153 WEALTHY ST SE STE 235, GRAND RAPIDS, MI 49506-3033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437452406
—
MI
Enumeration date
12/14/2010
Last updated
07/14/2026
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