Kelly L Bishop-Diaz in Grand Forks - Clinical

Kelly L Bishop-Diaz - NPI 1891856860

Kelly L Bishop-Diaz is a Clinical in Grand Forks, North Dakota. Kelly L Bishop-Diaz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly L Bishop-Diaz is 1891856860. The last update date is 2015-09-03.

Kelly L Bishop-Diaz's current location address is 2285 Star S Ave, Grand Forks, North Dakota. You can contact this provider via phone number 7013308210. The mailing address for Kelly L Bishop-Diaz is 2285 Star S Ave, Grand Forks, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly L Bishop-Diaz
Address 2285 Star S Ave, Grand Forks, North Dakota
Phone Number 7013308210
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1891856860
Provider Enumeration Date 2006-12-13
Last Updated Date 2015-09-03

Provider Mailing Address Detail

Address 2285 Star S Ave
City Grand Forks
State North Dakota (ND)
Post Code 582013478
Phone Number 7013308210
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 513
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4107555 TN BCBS TN

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FAQs about Kelly L Bishop-Diaz

What is the unique identifier code issued to Kelly L Bishop-Diaz by the Centers for Medicare & Medicaid Services (CMS)?

The Kelly L Bishop-Diaz has been assigned the NPI (National Provider Identifier) 1891856860. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Kelly L Bishop-Diaz located?

The Kelly L Bishop-Diaz is located at 2285 Star S Ave, Grand Forks, ND 582013478.

What is Kelly L Bishop-Diaz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelly L Bishop-Diaz is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

On what date was the 1891856860 assigned to Kelly L Bishop-Diaz?

The Kelly L Bishop-Diaz was issued its 1891856860 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Kelly L Bishop-Diaz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kelly L Bishop-Diaz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-03.

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