Belleville Area Special Services Cooperative
NPI #1679090997 in Belleville, Illinois
Provider Information
- NPI Number
- 1679090997
- Entity Type
- Organization
- Organization Name
- Belleville Area Special Services Cooperative
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Aug 28, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2411 PATHWAYS XING
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-5885
- Phone
- (618) 355-4700
Authorized Official
- Name
- JEFF DAUGHERTY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 355-4719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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