Individual
JARED BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1229 LINCOLN ST, ANDERSON, IN 46016-1693
(844) 695-7242
Mailing address
2500 N WHEELING AVE APT 2C, MUNCIE, IN 47303-1639
(940) 256-0453
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043220A
IN
Other
Enumeration date
05/22/2015
Last updated
09/02/2021
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