IndividualActive
Andrew Dejong, SSP
NPI 1104593219 · School Psychologist · New Lenox, IL
Provider details
- NPI number
- 1104593219
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Credential
- SSP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2353028 (IL)
Mailing address
1801 E Lincoln Hwy
New Lenox, IL 60451-3801
Registry dates
- Enumerated
- 2021-08-26
- Last updated
- 2021-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.