| Matt Bishop Marriage & Family Therapy Inc. | |
|
2456 Broadway Ste 103 San Diego CA 92102-2022 | |
| (858) 750-0213 | |
| Not Available |
| Full Name | Matt Bishop Marriage & Family Therapy Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2456 Broadway Ste 103, San Diego, California |
| Authorized Official Name and Position | Matthew Bishop (OWNER) |
| Authorized Official Contact | 8587500213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Bishop Marriage & Family Therapy Inc. 2456 Broadway Ste 103 San Diego CA 92102-2022 Ph: (858) 750-0213 | Matt Bishop Marriage & Family Therapy Inc. 2456 Broadway Ste 103 San Diego CA 92102-2022 Ph: (858) 750-0213 |
| NPI Number | 1881418440 |
|---|---|
| Provider Enumeration Date | 11/11/2024 |
| Last Update Date | 11/11/2024 |
| Certification Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881418440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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