Individual provider · Type 1 NPI
Itoro Ibia, MD
Child & Adolescent Psychiatry Physician · Reston, VA
NPI number
1356338206
Active
Practice location
11701 Bowman Green Dr
Reston, VA 20190-3573
Fax (703) 707-0690
Mailing address
PO Box 2963
Reston, VA 20195-0963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101223034 (VA) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 0101223034 (VA) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Another provider at this address
Other child & adolescent psychiatry physician providers in Reston
About NPI 1356338206
Itoro Ibia, MD's National Provider Identifier is 1356338206, issued on Oct 5, 2005. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Reston, VA. The record was last updated on Jul 13, 2026.