Organization
PSYCHOLOGICAL SERVICES OF CENTRAL ILLINOIS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E. DIMOND PH.D. (PRESIDENT)
(217) 546-3118
Entity
Organization
Contact information
Practice address
2921 GREENBRIAR DR, SUITE B-1, SPRINGFIELD, IL 62704-6425
(217) 546-3118
(217) 546-3184
Mailing address
2921 GREENBRIAR DR, SUITE B-1, SPRINGFIELD, IL 62704-6425
(217) 546-3118
(217) 546-3184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008423762
HMO ILLINOIS
IL
Enumeration date
05/12/2006
Last updated
04/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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