Provider Demographics
NPI:1699339366
Name:BISHOP, KRISTEN SEYMOUR (MA)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:SEYMOUR
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:SUZANNE
Other - Last Name:SEYMOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:762 E ARGYLE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5024
Mailing Address - Country:US
Mailing Address - Phone:615-619-5590
Mailing Address - Fax:
Practice Address - Street 1:762 E ARGYLE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-5024
Practice Address - Country:US
Practice Address - Phone:615-619-5590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-27
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist