Individual
ASHLEY L PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
(660) 885-2393
Mailing address
1105 S 8TH ST, CLINTON, MO 64735-3028
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2006034108
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499003143
—
MO
Enumeration date
04/17/2006
Last updated
12/10/2015
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