Individual
MR. ANDREW R DILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
505 W 15TH ST, PLEASANTON, KS 66075-4095
(913) 352-8214
Mailing address
PO BOX 807, 304 N. JEFFERSON AVE, IOLA, KS 66749-2327
(620) 365-8641
(620) 365-8642
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1453
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200732040A
—
KS
Enumeration date
07/21/2011
Last updated
08/16/2025
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