IndividualActive
Deidra Parks, M.S. CCC/SLP
NPI 1508012352 · Speech-Language Pathologist · Mount Vernon, IL
Provider details
- NPI number
- 1508012352
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC/SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146.005992 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16721 E Kendall Rd
Mount Vernon, IL 62864-2077
Phone: (618) 214-2883
Street-level locationGet directions
Mailing address
16721 E Kendall Rd
Mount Vernon, IL 62864-2077
Registry dates
- Enumerated
- 2008-08-12
- Last updated
- 2008-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.