NPI 1164542585

Kelli M Bishop, PSYD

Practitioner Clinical Psychologist Idaho Falls, ID

Practice location

Address: 111 E 16th St, Idaho Falls, ID 83404-5919
Phone: (208) 523-1130
Mailing address: 4255 Wade Green Rd NW STE 414, Kennesaw, GA 30144-1763

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-202640 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1164542585
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2007
Record last updated: 25 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.