| Doctor Name: | DR. SCOTT ERIC BISCHOFF |
| NPI Number: | 1023425618 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 39001528A |
| Business Practice Address: | 3645 N Briarwood Lane Suite A Muncie, IN - 473045337 |
| Business Phone Number: | 7652895520 |
| Business Fax Number: | 7652895840 |
| Mailing Address: | 3645 N Briarwood Lane, Suite A MUNCIE |
| State: | IN |
| Postal Code: | 473045337 |
| Phone Number: | 7652895520 |
| Fax Number: | 7652895840 |
| NPI Enumeration Date: | 07/16/2014 |
| NPI Last Update Date: | 07/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 39001528A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |