IndividualActive
Aaron Poppy
NPI 1518115682 · Psychologist · Bloomington, IL
Provider details
- NPI number
- 1518115682
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071.009670 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
207 W Jefferson St Ste 402
Bloomington, IL 61701-3969
Phone: (309) 520-2265
Approximate (ZIP-level) locationGet directions
Mailing address
808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075
Registry dates
- Enumerated
- 2008-09-03
- Last updated
- 2024-01-26
- Certified
- 2024-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.