John Wesley Bishop JR. PH.D.

NPI 1083767172 - Psychologist - 103TC2200X

NPI Details
NPI 1083767172
Gender Male
Enumeration Date 01/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1225 VINE ST
SUITE 300
PHILADELPHIA PA, 19107-1111, US
Phone (215) 405-2100
Fax
Business Location
3475 BOWMAN ST
PHILADELPHIA PA, 19129-1508, US
Phone (215) 495-3249
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State Pennsylvania
License Number PS016033
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According to our database, Dr. John Wesley Bishop JR. PH.D. NPI is 1083767172, taxonomy code is 103TC2200X and license number is PS016033, license state is located at Pennsylvania. John Wesley Bishop JR. PH.D. physically located at 1225 Vine St, Philadelphia PA, 19107-1111. NPI Number John Wesley Bishop JR. PH.D. has the Individual type.

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1083767172 NPI number is provided on an as is basis without warranty of any kind. 1083767172 is maintained by the National Plan & Provider Enumeration System. The contents of John Wesley Bishop JR. PH.D. are for informational purposes only.