Provider Demographics
NPI:1053430165
Name:DILLON, CECILE (PHD)
Entity type:Individual
Prefix:DR
First Name:CECILE
Middle Name:
Last Name:DILLON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CECILE
Other - Middle Name:
Other - Last Name:DILLON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:20932 BROOKHURST ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-6638
Mailing Address - Country:US
Mailing Address - Phone:714-964-3030
Mailing Address - Fax:714-962-8920
Practice Address - Street 1:20932 BROOKHURST ST
Practice Address - Street 2:SUITE 210
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-6638
Practice Address - Country:US
Practice Address - Phone:714-964-3030
Practice Address - Fax:714-962-8920
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8519103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist