Individual
DR. BONNI S BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3030 HARDEN BLVD, LAKELAND, FL 33803-7952
(863) 687-1222
(863) 603-6546
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT, LAKELAND, FL 33805-4543
(636) 871-1008
(863) 630-6528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7847
FL
103T00000X
Psychologist
—
—
Other
Enumeration date
12/20/2008
Last updated
09/18/2022
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