Delores Ann O'Dell Mccollum in Rock Island - Psychologist

Delores Ann O'Dell Mccollum - NPI 1922181122

Delores Ann O'Dell Mccollum is a Psychologist in Rock Island, Illinois. Delores Ann O'Dell Mccollum practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Delores Ann O'Dell Mccollum is 1922181122. The last update date is 2016-05-12.

Delores Ann O'Dell Mccollum's current location address is 2100 18th Avenue, Ste 6, Rock Island, Illinois. You can contact this provider via phone number 3097880730 and fax number 3097880733. The mailing address for Delores Ann O'Dell Mccollum is 2100 18th Avenue, Ste 6, Rock Island, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Delores Ann O'Dell Mccollum
Address 2100 18th Avenue, Ste 6, Rock Island, Illinois
Phone Number 3097880730
Fax Number 3097880733
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1922181122
Provider Enumeration Date 2006-10-23
Last Updated Date 2016-05-12

Provider Mailing Address Detail

Address 2100 18th Avenue, Ste 6
City Rock Island
State Illinois (IL)
Post Code 61201
Phone Number 3097880730
Fax Number 3097880733

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 71005753
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
855 IA --

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FAQs about Delores Ann O'Dell Mccollum

What is the unique identification code assigned to Delores Ann O'Dell Mccollum by the Centers for Medicare & Medicaid Services?

The Delores Ann O'Dell Mccollum has been issued the NPI (National Provider Identifier) 1922181122. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Delores Ann O'Dell Mccollum's facilities are geographically located?

The facilities of Delores Ann O'Dell Mccollum are physically situated at the following location: 2100 18Th Avenue, Ste 6, Rock Island, IL, 61201.

What is the Delores Ann O'Dell Mccollum's specialty and taxonomy code?

The Delores Ann O'Dell Mccollum's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date was the 1922181122 assigned to Delores Ann O'Dell Mccollum?

The Delores Ann O'Dell Mccollum was issued its 1922181122 on 2006-10-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Delores Ann O'Dell Mccollum most recently updated or revised?

The details related to Delores Ann O'Dell Mccollum, including its address, specialty, and other relevant information, were last updated or revised on 2016-05-12.

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