Individual
DR. COLLIN ANDREW LODICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
103T00000X
Psychologist
Primary
00833
IA
103T00000X
Psychologist
071-005507
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263178
—
IA
Enumeration date
09/06/2006
Last updated
06/22/2009
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