Organization · Type 2 NPI

Quad Cities Mental Health

Prescribing (Medical) Psychologist · Moline, IL

NPI number 1679010771 Active

Practice location

4350 7th St
Moline, IL 61265-6870

Fax (309) 764-9001

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016X336.042316 (IL)
Community/Behavioral Health Agency 251S00000X180.006915 (IL)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1679010771

Quad Cities Mental Health's National Provider Identifier is 1679010771, issued on Jan 26, 2017. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Moline, IL. The record was last updated on Jan 26, 2017.