Individual provider · Type 1 NPI

Jacqueline Diane Parks, MA, TLLP

Psychologist · Southgate, MI

NPI number 1194069500 Active

Practice location

19291 Northline Rd
Southgate, MI 48195-2220

Call (734) 785-7700 Map

Mailing address

2485 W Euclid St
Detroit, MI 48206-2441

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301015305 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1194069500

Jacqueline Diane Parks, MA, TLLP's National Provider Identifier is 1194069500, issued on Nov 26, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Southgate, MI. The record was last updated on Nov 26, 2012.