Jaime Ibarra

NPI #1518471622 in Oak Hall, Virginia

Provider Information

NPI Number: 1518471622
Entity Type: Individual
Name: Jaime Ibarra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Nov 28, 2017
Last Updated: Nov 28, 2017

Practice Location

Address: 8210 LANKFORD HWY
City: Oak Hall
State: Virginia
ZIP Code: 23416-2114
Phone: (757) 824-3360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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