Springfield Ctr Psychological Svs
NPI #1730231135 in Springfield, Illinois
Provider Information
- NPI Number
- 1730231135
- Entity Type
- Organization
- Organization Name
- Springfield Ctr Psychological Svs
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1201 S VETERANS PKWY
- Address 2
- SUITE B
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6321
- Phone
- (217) 793-2770
Authorized Official
- Name
- DR. ROBERT LEON JACKSON, PHD
- Title
- PSYCHOLOGIST PRESIDENT
- Phone
- (217) 793-2770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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