| Child & Family Psychology Center Pc | |
|
3919 16th Street Moline IL 61265 | |
| (309) 797-6979 | |
| (309) 797-6986 |
| Full Name | Child & Family Psychology Center Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3919 16th Street, Moline, Illinois |
| Authorized Official Name and Position | Richard Arthur Hutchison (PRESIDENT) |
| Authorized Official Contact | 3097976979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Family Psychology Center Pc Po Box 86 Moline IL 61266-0086 Ph: (309) 797-6979 | Child & Family Psychology Center Pc 3919 16th Street Moline IL 61265 Ph: (309) 797-6979 |
| NPI Number | 1932311859 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 06/16/2016 |
| Medicare PECOS PAC ID | 3971563248 |
|---|---|
| Medicare Enrollment ID | O20041012001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932311859 | NPI | - | NPPES |
| Provider Name | Richard A Hutchison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093795254 PECOS PAC ID: 6608836879 Enrollment ID: I20101210000087 |
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