IndividualActive
Itoro Ibia, M.D.
NPI 1356338206 · Child & Adolescent Psychiatry Physician · Reston, VA
Provider details
- NPI number
- 1356338206
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- License
- 0101223034 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11701 Bowman Green Dr
Reston, VA 20190-3573
Phone: (703) 707-9777
Fax: (703) 707-0690
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2963
Reston, VA 20195-0963
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.