Provider Demographics
NPI:1417159476
Name:DILEO, ANDREW JOSEPH (DD, MPC, MS ED)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:DILEO
Suffix:
Gender:M
Credentials:DD, MPC, MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02838-1101
Mailing Address - Country:US
Mailing Address - Phone:401-477-2128
Mailing Address - Fax:
Practice Address - Street 1:299 CREEK ST UNIT D
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1478
Practice Address - Country:US
Practice Address - Phone:781-317-9421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT101YP1600X
251S00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No251S00000XAgenciesCommunity/Behavioral Health