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Contact Information

SUMMER L IBARRA, PhD
5230 E STOP 11 RD STE 350
INDIANAPOLIS, IN46237-6402
 Phone: 317-783-8383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for SUMMER L IBARRA · (Female)

NPI Number 1053743088
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/01/2013
Last updated 11/09/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 20042730A
  • IN License # 99058381A
  • IN Other 000000863597 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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