Individual
DR. DONALD RUSSELL BISHOP III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2225 GATEWAY DR STE B, SYCAMORE, IL 60178-3139
(815) 787-6463
Mailing address
2225 GATEWAY DR STE B, SYCAMORE, IL 60178-3139
(815) 787-6463
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071004734
IL
Other
Enumeration date
12/12/2006
Last updated
07/09/2007
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