Individual
DR. BARBARA DULANEY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED D LMHC
Contact information
Practice address
6000A SAWGRASS VILLAGE CIRCLE, SUITE 12, PONTE VEDRA BEACH, FL 32082
(904) 280-0448
(904) 273-7430
Mailing address
6000A SAWGRASS VILLAGE CIRCLE, SUITE 12, PONTE VEDRA BEACH, FL 32082
(904) 280-0448
(904) 273-7430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH1901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186095
PHCS
—
01
—
56376742
UNITED BEHAVIORAL HEALTH
—
01
—
7278112
AETNA
—
01
—
Z2480
BCBS
—
Enumeration date
07/18/2006
Last updated
07/08/2007
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