Doctor Name: | SALLY IBIK |
NPI Number: | 1720283526 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 6040 Public Landing Rd Snow Hill, MD - 218632453 |
Business Phone Number: | 4106321100 |
Business Fax Number: | 4106320906 |
Mailing Address: | 1501 Cedar St, POCOMOKE CITY |
State: | MD |
Postal Code: | 218519533 |
Phone Number: | 4109571489 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |