Mccollum Psychology, Pc | |
2101 47th St Moline IL 61265-3663 | |
(309) 762-3931 | |
(309) 762-4938 |
Full Name | Mccollum Psychology, Pc |
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Speciality | Psychologist |
Location | 2101 47th St, Moline, Illinois |
Authorized Official Name and Position | Delores Odell Mccollum (PRESIDENT) |
Authorized Official Contact | 3097623931 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mccollum Psychology, Pc 2101 47th St Moline IL 61265-3663 Ph: (309) 762-3931 | Mccollum Psychology, Pc 2101 47th St Moline IL 61265-3663 Ph: (309) 762-3931 |
NPI Number | 1275616484 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275616484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (Illinois) | Primary |
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