Individual
MR. LUKE IBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
8591 HOLLY MEADOWS RD, PARSONS, WV 26287-8604
(304) 478-3339
(304) 478-3311
Mailing address
164 E PIEDMONT ST, KEYSER, WV 26726-3132
(240) 529-6146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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