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Contact Information

NEIL A JEPSON, PHD
1111 TRINITY LN STE 111
BLOOMINGTON, IL61704-8112
 Phone: 309-663-6461
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NEIL A JEPSON · (Male)

NPI # 1689687709
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/14/2006
Last updated 04/19/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 0470000715
  • VT License # 047000715
  • VT Medicaid 1010983
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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