National Provider Identifier
Laura Susan Dibble, M.D.
Laura Susan Dibble, M.D. is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician in Ithaca, NY and a listed phone number of (315) 253-9795.
Source: public NPPES record, last updated January 09, 2014. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1629085048
- Provider Type
- Individual
- Primary Specialty
- Child & Adolescent Psychiatry Physician
- Enumeration Date
- August 01, 2006
- Last Updated
- January 09, 2014
Practice Location
- 555 Warren RD
- Tst Boces
- Ithaca, NY 14850-1862
Phone: (315) 253-9795
Mailing Address
- PO Box 295
- Manlius, NY 13104-0295
Specialties
- Child & Adolescent Psychiatry Physician (2084P0804X)
- Psychiatry Physician (2084P0800X)
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Biography
Laura Dibble, MD, is an Ithaca psychiatrist with formal training in both adult psychiatry and child and adolescent psychiatry. She graduated from Wayne State University School of Medicine and completed psychiatry and child and adolescent psychiatry training at the same University of Michigan program. In addition to clinical practice, she serves as a clinical associate professor with SUNY Upstate Medical University’s Child and Adolescent Psychiatry fellowship.
Full Record
- NPI
- 1629085048
- Entity Type
- Individual
- Last Name
- Dibble
- First Name
- Laura
- Middle Name
- Susan
- Credential
- M.D.
- Mailing Street Address
- PO Box 295
- Mailing City
- Manlius
- Mailing State
- NY
- Mailing ZIP Code
- 13104-0295
- Mailing Country
- US
- Mailing Phone
- (315) 420-3030
- Practice Street Address
- 555 Warren RD
- Practice Address Line 2
- Tst Boces
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1862
- Practice Country
- US
- Practice Phone
- (315) 253-9795
- Practice Fax
- (315) 253-3255
- Enumeration Date
- August 01, 2006
- Last Updated
- January 09, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Child & Adolescent Psychiatry Physician (2084P0804X), Psychiatry Physician (2084P0800X)