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Individual

DR. SUMMER L IBARRA

Active
Find providers by NPI
Individual

DR. SUMMER L IBARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20042730A
IN
103TR0400X
Rehabilitation Psychologist
Primary
20042730A
IN
103TR0400X
Rehabilitation Psychologist
99058381A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000863597
ANTHEM
IN
Enumeration date
08/01/2013
Last updated
11/09/2020
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