James Andrew Dibble
James Andrew Dibble is a Clinical Psychologist in Southold, New York. Qualified in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 35
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
44210 Rt 48 North RdSouthold, NY 11971
Phone: (631) 765-6899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 011488 (NY) |
|---|
Record details
| NPI number | 1912088386 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 770 Cedar Dr. S, East Marion, NY 11939 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1991 (35 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |