Individual
THOMAS WARD BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
14700 EAST OLD US 12, CHELSEA, MI 48118-1185
(734) 475-1321
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017038
MI
103TC0700X
Clinical Psychologist
P2573
TN
103TF0000X
Family Psychologist
6301017038
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3980983
—
TN
Enumeration date
07/12/2005
Last updated
06/09/2017
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