Provider Demographics
NPI:1225684137
Name:BISHOP, RHONDA L (LADC)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:L
Last Name:BISHOP
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 COTTAGE ST STE 230
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-4143
Mailing Address - Country:US
Mailing Address - Phone:603-259-3700
Mailing Address - Fax:603-444-0945
Practice Address - Street 1:2957 MAIN STREET, RTE. 302
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:NH
Practice Address - Zip Code:03574
Practice Address - Country:US
Practice Address - Phone:603-869-2210
Practice Address - Fax:603-869-2355
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0589101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty