Individual
DR. IDA C DELIBERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5525 TWIN KNOLLS RD, 327 AND 329, COLUMBIA, MD 21045-3266
(410) 992-9149
Mailing address
5525 TWIN KNOLLS RD, STE 327, COLUMBIA, MD 21045-3207
(410) 992-9149
(410) 992-9921
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05071
MD
Other
Enumeration date
06/23/2013
Last updated
07/23/2019
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