Provider Demographics
NPI:1306270129
Name:BISHOP, NADRIEN JESSICA (PSYD)
Entity type:Individual
Prefix:DR
First Name:NADRIEN
Middle Name:JESSICA
Last Name:BISHOP
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1125 W 6TH ST
Mailing Address - Street 2:103
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-1833
Mailing Address - Country:US
Mailing Address - Phone:213-202-3970
Mailing Address - Fax:213-202-3977
Practice Address - Street 1:1453 W TEMPLE ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-5648
Practice Address - Country:US
Practice Address - Phone:213-926-3619
Practice Address - Fax:213-202-3977
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner