Individual
EVANGELINE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2716 OCEAN PARK BLVD STE 1055, SANTA MONICA, CA 90405-5231
(424) 406-1156
Mailing address
4206 W 58TH PL, LOS ANGELES, CA 90043-3406
(562) 881-9726
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY25157
CA
Other
Enumeration date
02/15/2007
Last updated
07/09/2024
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