Individual provider · Type 1 NPI

Sharadan Parks

Developmental Therapist · Quincy, IL

NPI number 1053617860 Active

Practice location

4409 Maine St
Quincy, IL 62305-5849

Call (217) 223-0413 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1053617860

Sharadan Parks's National Provider Identifier is 1053617860, issued on Jan 27, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Quincy, IL. The record was last updated on Jul 7, 2011.