Individual
DR. CATHY LYNN BISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, MBA
Contact information
Practice address
24654 N LAKE PLEASANT PKWY STE 103-497, PEORIA, AZ 85383-1359
(928) 274-0294
Mailing address
PO BOX 172, MARICOPA, AZ 85139-0049
(928) 274-0294
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3917
AZ
103TF0000X
Family Psychologist
3917
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3917
PSYCOLOGICAL LICENSURE
AZ
Enumeration date
11/09/2007
Last updated
05/30/2015
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