Doctor Name: | MR. ANDREW JOSEPH DILEO |
NPI Number: | 1417159476 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS, RMT |
License Number: | |
Business Practice Address: | 107 Wilcox Rd Suite 103 Stonington, CT - 063782613 |
Business Phone Number: | 8605363880 |
Business Fax Number: | |
Mailing Address: | 5 School St, STONINGTON |
State: | CT |
Postal Code: | 063781441 |
Phone Number: | 8605350816 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |