Individual
SUSAN R. BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
833 N WACO AVE, SUITE 200, WICHITA, KS 67203-3989
(316) 263-2351
(316) 263-3685
Mailing address
833 N WACO AVE, SUITE 200, WICHITA, KS 67203-3989
(316) 263-2351
(316) 263-3685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2063
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071166
BCBS
—
05
—
100212200E
—
KS
05
—
200428120C
—
KS
Enumeration date
10/10/2006
Last updated
11/28/2011
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