Mccollum Psychology, Pc in Moline - Psychologist
Mccollum Psychology, Pc - NPI 1275616484
Mccollum Psychology, Pc is a Psychologist in Moline, Illinois. Mccollum Psychology, Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mccollum Psychology, Pc is 1275616484. The last update date is 2020-08-22.
Mccollum Psychology, Pc's current location address is 2101 47th St, Moline, Illinois. You can contact this provider via phone number 3097623931 and fax number 3097624938. The mailing address for Mccollum Psychology, Pc is 2101 47th St, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mccollum Psychology, Pc |
|---|---|
| Address | 2101 47th St, Moline, Illinois |
| Phone Number | 3097623931 |
| Fax Number | 3097624938 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Odell Mccollum Delores |
| Credentials | PHD |
| Telephone Number | 3097623931 |
NPI Number Detail
| NPI Number | 1275616484 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2101 47th St |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612653663 |
| Phone Number | 3097623931 |
| Fax Number | 3097624938 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Mccollum Psychology, Pc by the Centers for Medicare & Medicaid Services?
The Mccollum Psychology, Pc has been assigned the NPI (National Provider Identifier) 1275616484 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mccollum Psychology, Pc?
The Mccollum Psychology, Pc is situated at 2101 47Th St, in the city of Moline, state of IL, with the zip code 612653663.
What is Mccollum Psychology, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mccollum Psychology, Pc's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275616484 to Mccollum Psychology, Pc?
The Mccollum Psychology, Pc received its 1275616484 assignment from the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date were the Mccollum Psychology, Pc's details last updated?
The information pertaining to the Mccollum Psychology, Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.