Dr. Summer L Ibarra
Clinical Psychologist Rehabilitation Psychologist
5230 E Stop 11 Rd Ste 350
Indianapolis
, Indiana 46237-6402
Dr. Summer L Ibarra
Clinical Psychologist Rehabilitation Psychologist
5230 E Stop 11 Rd Ste 350
Indianapolis
, Indiana 46237-6402
(317) 581-2285
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About
Features
Specialties
- Clinical Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Summer L Ibarra
- 10293 N Meridian St Ste 210
- Carmel, IN
- Zip : 46290-1079
- Fax : (317) 581-2285
- Phone : (317) 581-2292
Second Address
- Dr. Summer L Ibarra
- 5230 E Stop 11 Rd Ste 350
- Indianapolis, IN
- Zip : 46237-6402
- Phone : (317) 783-8383
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Is Dr. Summer L Ibarra a sole practitioner?
Is Dr. Summer L Ibarra accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 20042730A | IN |
| N | 103TC0700X | Clinical Psychologist | 20042730A | IN |
| Y | 103TR0400X | Rehabilitation Psychologist | 20042730A | IN |
| N | 103TR0400X | Rehabilitation Psychologist | 99058381A | IN |
National Provider Identifier
| NPI | 1053743088 |
|---|---|
| Provider Name | Dr. Summer L Ibarra |
| First Address | Carmel, IN 46290-1079 |
| Second Address | Indianapolis, IN 46237-6402 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2013 |
| Last Update Date | 09/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000863597 | ANTHEM (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.