Doctor Name: | MR. MARTIN T BISHOP |
NPI Number: | 1093975054 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LMHC |
License Number: | |
Business Practice Address: | 77 W Nelson Rd Sequim, WA - 983828055 |
Business Phone Number: | 3606810700 |
Business Fax Number: | 3606832568 |
Mailing Address: | 77 W Nelson Rd, SEQUIM |
State: | WA |
Postal Code: | 983828055 |
Phone Number: | 3606810700 |
Fax Number: | 3606832568 |
NPI Enumeration Date: | 06/12/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |