Provider Demographics
NPI:1902165608
Name:BISHOP, KRISTEN LEIGH (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LEIGH
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3625 W MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4656
Mailing Address - Country:US
Mailing Address - Phone:405-579-7560
Mailing Address - Fax:405-579-5763
Practice Address - Street 1:3625 W MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4656
Practice Address - Country:US
Practice Address - Phone:405-579-7560
Practice Address - Fax:405-579-5763
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2014-06-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional