Individual
DR. KATHLEEN GAYLE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.DIV., PH.D.
Contact information
Practice address
9 TULIP ST, SUMMIT, NJ 07901-2404
(908) 277-7676
Mailing address
510 OCEAN AVE, #30, LONG BRANCH, NJ 07740-5368
(201) 602-4803
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3TP10-017
NJ
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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