Individual
DR. DELORES ANN O'DELL MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2100 18TH AVENUE, STE 6, ROCK ISLAND, IL 61201
(309) 788-0730
(309) 788-0733
Mailing address
2100 18TH AVENUE, STE 6, ROCK ISLAND, IL 61201
(309) 788-0730
(309) 788-0733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00855
—
IA
Enumeration date
10/23/2006
Last updated
05/12/2016
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