Individual
MR. JEREMY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSP, NCSP
Contact information
Practice address
3118 N OLCOTT AVE, CHICAGO, IL 60707-1134
(312) 796-6414
Mailing address
1101 W VAN BUREN ST UNIT 1720, CHICAGO, IL 60607-3263
(504) 458-5756
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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