| Springfield Ctr Psychological Svs | |
|
1201 S Veterans Pkwy Suite B Springfield IL 62704-6321 | |
| (217) 793-2770 | |
| (217) 793-2887 |
| Full Name | Springfield Ctr Psychological Svs |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1201 S Veterans Pkwy, Springfield, Illinois |
| Authorized Official Name and Position | Robert Leon Jackson (PSYCHOLOGIST PRESIDENT) |
| Authorized Official Contact | 2177932770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Ctr Psychological Svs 1201 S Veterans Pkwy Suite B Springfield IL 62704-6321 Ph: (217) 793-2770 | Springfield Ctr Psychological Svs 1201 S Veterans Pkwy Suite B Springfield IL 62704-6321 Ph: (217) 793-2770 |
| NPI Number | 1730231135 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730231135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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