Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON COLLINS, SSP
ActiveSchool Psychologist · EUREKA, IL
Registration Details
- NPI Number
- 1457029027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2021 (4.6623220013107 yrs)
- Last Updated
- Aug 31, 2021
Practice Information
- Address
-
719 S FOREST PARK DREUREKA, IL, 615301513Browse IL providers · Browse ZIP 61530
- Phone
- 3092587607
- Primary Specialty
-
School Psychologist
103TS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.