Individual
CHANELLE TIFFANI BISHOP-GILYARD
Active
Individual
CHANELLE TIFFANI BISHOP-GILYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, MS
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016362
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS016362
PA
103TH0004X
Health Psychologist
PS016362
PA
Other
Enumeration date
10/14/2010
Last updated
01/23/2018
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