| Doctor Name: | JAMES ANDREW DIBBLE |
| NPI Number: | 1912088386 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 011488 |
| Business Practice Address: | 44210 Rt. 48 North Rd. Southold, NY - 11971 |
| Business Phone Number: | 6317656899 |
| Business Fax Number: | |
| Mailing Address: | 770 Cedar Dr. S, EAST MARION |
| State: | NY |
| Postal Code: | 11939 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 011488 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |