Individual
DR. JOHN BRIAN DILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1350 NW 138TH ST, SUITE 200, DES MOINES, IA 50325-8377
(515) 223-4188
(515) 223-9570
Mailing address
1350 NW 138TH ST, SUITE 200, DES MOINES, IA 50325-8377
(515) 223-4188
(515) 223-9570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
376
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1229
PROF. MOBILITY (ASPPB)
IA
01
—
123
HEALTH SERVICE PROVIDER
IA
01
—
376
PSYCHOLOGIST
IA
Enumeration date
02/16/2007
Last updated
07/08/2007
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