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NPI Code Detail

MEDICARE: REBECCA BISHOP LPC

MEDICARE: REBECCA BISHOP LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor72937TX

General Provider Information

NPI Number : 1255868923
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA BISHOP LPC
Provider Business Mailing Address
First Line : 16980 DALLAS PKWY STE 204
Second Line :
City : DALLAS
State : TX
Zip : 75248-1910
Country : US
Telephone Number : 972-733-6565
Fax Number : 972-733-6564
Provider Business Practice Location Address
First Line : 16980 DALLAS PKWY STE 204
Second Line :
City : DALLAS
State : TX
Zip : 75248-1910
Country : US
Telephone Number : 972-733-6565
Fax Number : 972-733-6564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2017
Last Update Date : 05/12/2017

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Directions to “ REBECCA BISHOP LPC” Practice Location

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