Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHPARK PSYCHOLOGY LTD
Active OrganizationSOUTHPARK PSYCHOLOGY LTD is a Counseling Psychologist organization located in MOLINE, Illinois. NPI 1558470419 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · MOLINE, IL
Registration Details
- NPI Number
- 1558470419
- Provider Type
- Organization
- NPI Issued
- Aug 30, 2006 (19.940957419903 yrs)
- Last Updated
- Jan 26, 2018
Practice Information
- Address
-
2100 52ND AVEMOLINE, IL, 612656366Browse IL providers · Browse ZIP 61265
- Phone
- 3097972900
- Fax
- 3097972147
- Primary Specialty
-
Counseling Psychologist
103TC1900X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Counseling Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.