Ibarra, Summer L

Ibarra, Summer L is an sole proprietor health care provider with primary practice located at 5230 E Stop 11 Rd Ste 350 , Indianapolis IN 46237-6402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Rehabilitation is her primary health care specialty. Ibarra, Summer L can be contacted via phone (317) 783-8383.

Contact Information

Primary practice address
5230 E Stop 11 Rd Ste 350 Indianapolis IN 46237-6402
Phone: (317) 783-8383
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20042730A Indiana
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 99058381A Indiana
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 20042730A Indiana

Profile Details

NPI number 1053743088
LBN Legal business name Ibarra, Summer L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2013
Last updated Nov 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053743088 NPPES
Indiana Other 000000863597 ANTHEM

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