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Individual

JON DIMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2738 GENERAL PERSHING ST, NEW ORLEANS, LA 70115-6226
(646) 418-5478
Mailing address
2738 GENERAL PERSHING ST, NEW ORLEANS, LA 70115-6226

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
022075-1
NY
103TC0700X
Clinical Psychologist
1556
LA
103TC0700X
Clinical Psychologist
Primary
PSY1001395
DC

Other

Enumeration date
05/04/2017
Last updated
12/14/2020
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