Individual
JORDAN CHRISTINE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
100 MEREDITH DR, DURHAM, NC 27713-5237
(919) 484-0012
Mailing address
4158 DEEP WOOD CIR, DURHAM, NC 27707-3522
(919) 971-3315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210649
—
NC
Enumeration date
04/16/2013
Last updated
04/16/2013
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