R. Douglas Mccollum in Moline - Clinical Child & Adolescent
R. Douglas Mccollum - NPI 1740319821
R. Douglas Mccollum is a Clinical Child & Adolescent in Moline, Illinois. R. Douglas Mccollum practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for R. Douglas Mccollum is 1740319821. The last update date is 2007-09-25.
R. Douglas Mccollum'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 R. Douglas Mccollum is 2101 47th St, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | R. Douglas Mccollum |
|---|---|
| Address | 2101 47th St, Moline, Illinois |
| Phone Number | 3097623931 |
| Fax Number | 3097624938 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1740319821 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-09-25 |
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 | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 512 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58957 | IA | WELLMARK BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to R. Douglas Mccollum by the Centers for Medicare & Medicaid Services?
The R. Douglas Mccollum has been issued the NPI (National Provider Identifier) 1740319821. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where R. Douglas Mccollum is physically located?
The R. Douglas Mccollum is situated at the following address: 2101 47Th St, Moline, IL 612653663.
What is the area of specialization for R. Douglas Mccollum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for R. Douglas Mccollum is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
On what date did the R. Douglas Mccollum receive the assignment of its 1740319821 from the Centers for Medicare & Medicaid Services?
The R. Douglas Mccollum was issued its 1740319821 by the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date was the information regarding R. Douglas Mccollum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to R. Douglas Mccollum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-25.
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