| Jacqueline Diane Parks, MA, TLLP | |
|
19291 Northline Rd, Southgate, MI 48195-2220 | |
| (734) 785-7700 | |
| Not Available |
| Full Name | Jacqueline Diane Parks |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 19291 Northline Rd, Southgate, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194069500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301015305 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Diane Parks, MA, TLLP 2485 W Euclid St, Detroit, MI 48206-2441 Ph: (313) 728-5519 | Jacqueline Diane Parks, MA, TLLP 19291 Northline Rd, Southgate, MI 48195-2220 Ph: (734) 785-7700 |
Ms. Laura L. Huot, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7704 Fax: 734-287-4192 | |
Mrs. Toni Renee Pruss, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19401 Northline Rd, Southgate, MI 48195 Phone: 734-785-7718 | |
Rebecca Rouse, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Vernetta Perrin Black, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7705 | |
Jakob Daniel Williams, M.S. LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Heritage Dr Ste 520, Southgate, MI 48195 Phone: 734-215-9800 | |
Mr. Ernest Arthur Ketelhut, M.S. L.L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 19291 Northline Rd, Southgate, MI 48195 Phone: 734-287-1500 Fax: 734-287-1660 | |
Sara Heitman Guetzkow, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19401 Northline Rd, Southgate, MI 48195 Phone: 734-785-7718 Fax: 734-287-8221 |