Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE CLINICAL CENTER
Active OrganizationSOUTHERN ILLINOIS UNIVERSITY CARBONDALE CLINICAL CENTER is a Psychologist organization located in CARBONDALE, Illinois. NPI 1174919351 is currently active in the NPPES registry. Verify at CMS.
Psychologist · CARBONDALE, IL
Registration Details
- NPI Number
- 1174919351
- Provider Type
- Organization
- NPI Issued
- Apr 14, 2015 (11.314717560441 yrs)
- Last Updated
- Apr 14, 2015
Practice Information
- Address
-
625 WHAM DRIVE ROOM 141CARBONDALE, IL, 62901Browse IL providers · Browse ZIP 62901
- Phone
- 6184532361
- Fax
- 6184536130
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.