Mr. Kenneth Dittmar
M. S. | Clinical Psychologist
711 Executive Pl, Fayetteville
North Carolina, 28305-5193
910-222-6357 910-678-9963
Maps & DirectionsMr. Kenneth Dittmar is a Fayetteville, North Carolina based psychologist who is specialized in Clinical Psychology. Active license number of Mr. Kenneth Dittmar is 459 in North Carolina. His current practice location is 711 Executive Pl, Fayetteville. Patients can reach him at 910-222-6357 or can fax him at 910-678-9963. Mr. Kenneth Dittmar is M. S. in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1457447765.
Mr. Kenneth Dittmar is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Mr. Kenneth Dittmar speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Kenneth Dittmar |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | M. S. |
| Practice Address: | 711 Executive Pl, Fayetteville,
North Carolina, 28305-5193 |
| Phone: | 910-222-6357 |
| Fax: | 910-678-9963 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1457447765 |
| NPI Enumeration Date: | 05 Oct, 2006 |
| NPI Last Update On: | 29 Mar, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kenneth Dittmar are as mentioned below.
| License Number | Specialization | State | Status | |
| 459 | | North Carolina | Primary | |
| 503 | Clinical Psychology | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Kenneth Dittmar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6107330 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Kenneth Dittmar
109 Bradford Ave,
Fayetteville, North Carolina |
| Zip: | 28301-5401 |
| Phone Number: | 910-323-2311 |
Patients can reach Mr. Kenneth Dittmar at
711 Executive Pl, Fayetteville, North Carolina or can
call to book an appointment on 910-222-6357.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.