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Individual

EDWARD JOHN DILL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3164
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3164
LICENSED PSYCHOLOGIST
CO
Enumeration date
07/14/2006
Last updated
09/17/2014
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