MR. Matthew Allen Bishop, B.S.

NPI #1699099606 in Idaho Falls, Idaho

Provider Information

NPI Number
1699099606
Entity Type
Individual
Name
MR. Matthew Allen Bishop, B.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Rehabilitation
Credential
B.S.
Enumeration Date
Mar 19, 2010
Last Updated
Mar 19, 2010

Practice Location

Address
1740 E 17TH ST
Address 2
SUITE C
State
Idaho
ZIP Code
83404-6375
Phone
(208) 524-1278

Specialties & Taxonomy Codes

Specialty
Psychologist - RehabilitationRehabilitation

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