LAURA SUSAN DIBBLE M.D. NPI 1629085048

NPI Information

  • NPI: 1629085048
  • Provider Name: LAURA SUSAN DIBBLE, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 555 WARREN RD
    TST BOCES
    ITHACA, NY
    ZIP 14850
  • Phone: (315) 253-9795

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NPI Details

Laura Susan Dibble, M.D. is a child and adolescent psychiatry psychiatry neurology in Ithaca, NY. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Laura Susan Dibble, M.D. NPI is 1629085048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

555 WARREN RD
TST BOCES
ITHACA, NY
ZIP 14850-862
Phone: (315) 253-9795
Fax: (315) 253-3255

The enumeration date for this NPI number is 8/1/2006 and was last updated on 1/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry204383NEW YORKNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry204383NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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