Dibble, Laura Susan

Dibble, Laura Susan is an sole proprietor health care provider with primary practice located at 555 Warren Rd Tst Boces, Ithaca NY 14850-1862. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Dibble, Laura Susan can be contacted via phone (315) 253-9795.

Contact Information

Primary practice address
555 Warren Rd Tst Boces Ithaca NY 14850-1862
Phone: (315) 253-9795
Fax: (315) 253-3255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 204383 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 204383 New York

Profile Details

NPI number 1629085048
LBN Legal business name Dibble, Laura Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jan 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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