DR. JONATHAN THOMAS-STAGG, LICENSED PSYCHOLOGIS

Psychologist - Clinical

Active Individual
NPI: 1992074215

Practice Address

701 DEVONSHIRE DR
Champaign, IL 61820

Phone: (309) 657-4904

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X Yes 071008196 (IL)

Frequently Asked Questions

NPI 1992074215 is the National Provider Identifier for DR. JONATHAN THOMAS-STAGG, LICENSED PSYCHOLOGIS, a Psychologist - Clinical provider located in Champaign, IL. This NPI was enumerated on December 14, 2011.
DR. JONATHAN THOMAS-STAGG, LICENSED PSYCHOLOGIS practices at 701 DEVONSHIRE DR, Champaign, IL 61820.

Quick Facts

NPI
1992074215
Type
Individual
Enumerated
Dec 14, 2011
Last Updated
Feb 19, 2018

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