Individual provider · Type 1 NPI

Laura Susan Dibble, MD

Child & Adolescent Psychiatry Physician · Ithaca, NY

NPI number 1629085048 Active

Practice location

555 Warren Rd, Tst Boces
Ithaca, NY 14850-1862

Fax (315) 253-3255

Mailing address

PO Box 295
Manlius, NY 13104-0295

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X204383 (NY)
Child & Adolescent Psychiatry Physician Primary 2084P0804X204383 (NY)

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.

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About NPI 1629085048

Laura Susan Dibble, MD's National Provider Identifier is 1629085048, issued on Aug 1, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Ithaca, NY. The record was last updated on Jan 9, 2014.