Provider Demographics
NPI:1982081162
Name:PARKS, ADAM C (PHD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:C
Last Name:PARKS
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:4330 SHAWNEE MISSION PKWY STE 2180
Mailing Address - Street 2:
Mailing Address - City:FAIRWAY
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2522
Mailing Address - Country:US
Mailing Address - Phone:913-588-6973
Mailing Address - Fax:
Practice Address - Street 1:4330 SHAWNEE MISSION PKWY STE 2180
Practice Address - Street 2:
Practice Address - City:FAIRWAY
Practice Address - State:KS
Practice Address - Zip Code:66205-2522
Practice Address - Country:US
Practice Address - Phone:913-588-6973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS2531103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist