Psychological Services of Central Illinois, P.c.
NPI #1245281583 in Springfield, Illinois
Provider Information
- NPI Number
- 1245281583
- Entity Type
- Organization
- Organization Name
- Psychological Services of Central Illinois, P.c.
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 12, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 2921 GREENBRIAR DR
- Address 2
- SUITE B-1
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6425
- Phone
- (217) 546-3118
Authorized Official
- Name
- DR. RICHARD E. DIMOND, PH.D.
- Title
- PRESIDENT
- Phone
- (217) 546-3118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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