Individual
DR. ANDREW JAMES DIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
301 N 1ST ST # 46, ALTUS, OK 73523-5004
(580) 481-5376
Mailing address
1100 WILFORD HALL LOOP, BLDG. 4554, JBSA LACKLAND, TX 78236
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006303
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2018
Last updated
09/17/2019
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