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Contact Information

CHILD & FAMILY PSYCHOLOGY CENTER PC
3919 16TH STREET
MOLINE, IL61265
 Phone: 309-797-6979
 Fax: 309-797-6986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CHILD FAMILY PSYCHOLOGY CENTER PC · (Female)

NPI # 1932311859
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2007
Last updated 06/16/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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