Lodico, Collin Andrew

Lodico, Collin Andrew is an sole proprietor health care provider with primary practice located at 2485 Tech Dr , Bettendorf IA 52722-3262. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lodico, Collin Andrew can be contacted via phone (563) 355-1611.

Contact Information

Primary practice address
2485 Tech Dr Bettendorf IA 52722-3262
Fax: (563) 355-6617
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00833 Iowa
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071-005507 Illinois

Profile Details

NPI number 1528161429
LBN Legal business name Lodico, Collin Andrew
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Jun 22nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528161429 NPPES
Iowa MEDICAID 0263178

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