Individual
MR. JOHN JOSEPH OLDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., NCSP
Contact information
Practice address
BASSC - BELLEVILLE AREA SPECIAL SERVICES COOPERATIVE, 2411 PATHWAYS CROSSING, BELLEVILLE, IL 62221
(618) 355-4700
(618) 355-4415
Mailing address
BASSC - BELLEVILLE AREA SPECIAL SERVICES COOPERATIVE, 2411 PATHWAYS CROSSING, BELLEVILLE, IL 62221
(618) 355-4700
(618) 355-4415
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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