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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA DEJONG

Active Sole Proprietor

LISA DEJONG is a School Psychologist healthcare provider located in CALEDONIA, Illinois. NPI 1508372871 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · CALEDONIA, IL

Registration Details

NPI Number
1508372871
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2017 (8.6227266824871 yrs)
Last Updated
Mar 17, 2018
License
1840449 (IL)
Sole Proprietor
Yes

Practice Information

Address
2311 RANDOLPH ST
CALEDONIA, IL, 610119321
Browse IL providers · Browse ZIP 61011
Phone
8155471977
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.