Individual
AARON POPPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 W JEFFERSON ST STE 402, BLOOMINGTON, IL 61701-3969
(309) 520-2265
Mailing address
808 S ELDORADO RD STE 102, BLOOMINGTON, IL 61704-6075
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.009670
IL
Other
Enumeration date
09/03/2008
Last updated
01/26/2024
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