Individual
DR. RICHARD E DIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
—
013265 (MHS)
VALUE OPTIONS
IL
01
—
064593
HEALTH ALLIANCE
IL
01
—
137075
HEALTH LINK
IL
01
—
7364205
AETNA
IL
Enumeration date
05/16/2006
Last updated
07/08/2007
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