Individual
DR. EVALYN G BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
198 SPOTNAP RD STE A3, CHARLOTTESVILLE, VA 22911-8614
(434) 882-2631
(434) 882-2631
Mailing address
135 OAK FOREST CIRCLE, CHARLOTTESVILLE, VA 22901
(434) 882-2631
(434) 244-0716
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
08100001917
VA
103TR0400X
Rehabilitation Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087576
OPTIMA HEALTH
VA
01
—
105614
ANTHEM BCBS
VA
01
—
262463
VALUE OPTIONS CH'VILLE
VA
01
—
88096M
OPTIMA HEALYH
VA
Enumeration date
09/26/2006
Last updated
03/18/2008
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