Idjj Sd#428
NPI #1255977757 in Belleville, Illinois
Provider Information
- NPI Number
- 1255977757
- Entity Type
- Organization
- Organization Name
- Idjj Sd#428
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Nov 20, 2019
- Last Updated
- Nov 20, 2019
Practice Location
- Address
- 1220 CENTREVILLE AVE FL 2
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-3089
- Phone
- (618) 222-3148
Authorized Official
- Name
- BAMBI BETHEL-LEITSCHUH
- Title
- DIRECTOR OF SPECIAL EDUCATION
- Phone
- (618) 222-3148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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