| Doctor Name: | DR. NIKKI L BISHOP-KALLMEYER |
| NPI Number: | 1043617376 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | OH1221997 |
| Business Practice Address: | 757 S Lebanon Rd Loveland, OH - 451409308 |
| Business Phone Number: | 5137746215 |
| Business Fax Number: | 5136777986 |
| Mailing Address: | 757 S Lebanon Rd, LOVELAND |
| State: | OH |
| Postal Code: | 451409308 |
| Phone Number: | 5137746215 |
| Fax Number: | 5136777986 |
| NPI Enumeration Date: | 12/02/2014 |
| NPI Last Update Date: | 12/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | OH1221997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |