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Organization
BISPHAM PSYCHOTHERAPY INC.
Active
Organization
BISPHAM PSYCHOTHERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA BISPHAM STOBBS-BULTEMA LMHC (OWNER)
(941) 544-1303
Entity
Organization
Contact information
Practice address
7221 DELAINEY CT, LAKEWOOD RANCH, FL 34240-8440
(941) 404-5557
Mailing address
7221 DELAINEY CT, LAKEWOOD RANCH, FL 34240-8440
(941) 404-5557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH15294
FL
Other
Enumeration date
05/25/2018
Last updated
09/18/2026
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