Jeremy Allen, SSP, NCSP
Psychologist, School in Chicago, IL. Individual provider (NPI-1).
NPI number1114816626
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1114816626
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeremy Allen
- Credential
- SSP, NCSP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | – | Yes |
Practice location
3118 N Olcott AveChicago, IL 60707-1134
Phone 312-796-6414
Mailing address
1101 W Van Buren St Unit 1720Chicago, IL 60607-3263
Phone 504-458-5756
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