| The Autism Program | |
|
5220 S 6th Street Rd Suite 1700 Springfield IL 62703-5735 | |
| (217) 525-8332 | |
| (217) 789-1420 |
| Full Name | The Autism Program |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5220 S 6th Street Rd, Springfield, Illinois |
| Authorized Official Name and Position | Julie Alderman (CENTER DIRECTOR) |
| Authorized Official Contact | 2175258332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Autism Program 5220 S 6th Street Rd Suite 1700 Springfield IL 62703-5735 Ph: (217) 525-8332 | The Autism Program 5220 S 6th Street Rd Suite 1700 Springfield IL 62703-5735 Ph: (217) 525-8332 |
| NPI Number | 1487947172 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 05/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487947172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180006213 (Illinois) | Primary |
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