Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JORDAN KENT WILES, SSP, NCSP
Active Sole ProprietorMR. JORDAN KENT WILES, SSP, NCSP is a School Psychologist healthcare provider located in CHAMPAIGN, Illinois. NPI 1770095119 is currently active in the NPPES registry. Verify at CMS.
School Psychologist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1770095119
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2017 (8.7727949345249 yrs)
- Last Updated
- Oct 25, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
807 N MATTIS AVECHAMPAIGN, IL, 618212448Browse IL providers · Browse ZIP 61821
- Phone
- 6189190408
- Fax
- 6189190408
- Primary Specialty
-
School Psychologist
103TS0200X
Other School Psychologist Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| AMANDA SEETS | SSP, NCSP | 1174032080 |
| ROBIN MICHELLE FIERER-WILSON | EDS | 1942712369 |
| DR. KYLE RYAN | PH.D. | 1275296782 |
| DR. MALA NASH | PHD | 1811617392 |
| DR. TIFFANY KEISHA JENKINS | PHD, NCSP | 1710754643 |
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.