James Andrew Dibble

NPI #1912088386 in Southold, New York

Provider Information

NPI Number: 1912088386
Entity Type: Individual
Name: James Andrew Dibble
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 44210 RT. 48 NORTH RD.
City: Southold
State: New York
ZIP Code: 11971
Phone: (631) 765-6899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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