Idjj SD#428

School Psychologist · Belleville, IL

Organization Active NPI

NPI number 1255977757

Practice location

1220 Centreville Ave Fl 2
Belleville, IL 62220-3089
Phone
(618) 222-3148

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NPI record

NPI
1255977757
Entity type
Organization (Type 2)
Enumeration date
November 20, 2019
Last updated
November 20, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
School Psychologist Primary 103TS0200X — —

Authorized official

Name
Bambi Bethel-Leitschuh
Title
Director of Special Education
Phone
(618) 222-3148

About Idjj SD#428

Idjj SD#428 is a healthcare organization registered in the NPI registry with the primary taxonomy School Psychologist (code 103TS0200X). The practice location is 1220 Centreville Ave Fl 2, Belleville, IL 62220-3089. The NPI number 1255977757 was assigned on November 20, 2019 and the record was last updated on November 20, 2019.

The authorized official for this organization is Bambi Bethel-Leitschuh, Director of Special Education.

Frequently asked questions

What is the NPI number of Idjj SD#428?

The NPI number is 1255977757.

What is the phone number of Idjj SD#428?

The phone number listed for the practice location is (618) 222-3148.

Where is Idjj SD#428 located?

1220 Centreville Ave Fl 2, Belleville, IL 62220-3089.

What is the taxonomy code for Idjj SD#428?

The primary taxonomy code is 103TS0200X – School Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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