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Organization

DR. DANIEL BISHOP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL WAYNE BISHOP PSY.D (OWNER)
(262) 374-3444
Entity
Organization

Contact information

Practice address
415 BROAD ST STE 2, LAKE GENEVA, WI 53147-1800
(262) 374-3444
(844) 247-2735
Mailing address
415 BROAD ST STE 2, LAKE GENEVA, WI 53147-1800
(262) 374-3444

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
02/03/2020
Last updated
03/18/2022
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