Individual provider · Type 1 NPI

Kelli M. Bishop, PSY.D.

Clinical Psychologist · Idaho Falls, ID

NPI number 1164542585 Active

Practice location

111 E 16th St
Idaho Falls, ID 83404-5919

Call (208) 523-1130 Map

Mailing address

4255 Wade Green Rd NW, Ste 414
Kennesaw, GA 30144-1763

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY-202640 (ID)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1164542585

Kelli M. Bishop, PSY.D.'s National Provider Identifier is 1164542585, issued on Mar 30, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 25, 2016.