OrganizationActive
Belleville Area Special Services Cooperative
NPI 1679090997 · School Psychologist · Belleville, IL
Provider details
- NPI number
- 1679090997
- Entity type
- Organization
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jeff Daugherty, Executive Director(618) 355-4719
- License
- 394137 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2411 Pathways Xing
Belleville, IL 62221-5885
Phone: (618) 355-4700
Approximate (ZIP-level) locationGet directions
Mailing address
2411 Pathways Xing
Belleville, IL 62221-5885
Registry dates
- Enumerated
- 2017-08-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.