Individual
TABITHA ANNE DIBACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2305
(513) 861-3100
Mailing address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08564
OH
Other
Enumeration date
06/30/2021
Last updated
06/12/2024
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