Organization
FAMILY COUNSELING & PSYCHOLOGY CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN ANDREW LODICO PH. D. (OWNER)
(563) 355-1611
Entity
Organization
Contact information
Practice address
2485 TECH DR, BETTENDORF, IA 52722-3262
(563) 355-1611
(563) 355-6617
Mailing address
2485 TECH DR, BETTENDORF, IA 52722-3262
(563) 355-1611
(563) 355-6617
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263178
—
IA
Enumeration date
09/13/2006
Last updated
06/22/2009
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