Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILLINOIS STATE UNIVERSITY
Active OrganizationILLINOIS STATE UNIVERSITY is a Clinical Psychologist organization located in NORMAL, Illinois. NPI 1770615502 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · NORMAL, IL
Registration Details
- NPI Number
- 1770615502
- Provider Type
- Organization
- NPI Issued
- Mar 9, 2007 (19.427599541578 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
408 FAIRCHILD HALLCAMPUS BOX 4625NORMAL, IL, 61790Browse IL providers · Browse ZIP 61790
- Phone
- 3094385629
- Fax
- 3094387476
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.