Individual
DR. FRANCES BERNANDINE RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2208 7TH AVENUE, ROCK ISLAND, IL 61201-2604
(309) 786-1569
(309) 786-2201
Mailing address
2208 7TH AVENUE, ROCK ISLAND, IL 61201-2604
(309) 786-1569
(309) 786-2201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004493
IL
106H00000X
Marriage & Family Therapist
00033
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08122334
BLUE CROSS BLUE SHIELD
—
01
—
104119200
DEPT OF LABOR OWEP
—
01
—
188390
MANAGED HEALTH NETWORK
—
01
—
245866
MIDLANDS CHOICE
—
01
—
5066340
AETNA
—
05
—
MIS061227002
—
IA
01
—
MIS207028000
MAGELLAN
—
Enumeration date
06/21/2006
Last updated
08/27/2012
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