Provider Demographics
NPI:1396039863
Name:BISCHOFF, CARRIE POGGIALI (PHD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:POGGIALI
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8809 LINDSEY CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-5104
Mailing Address - Country:US
Mailing Address - Phone:317-770-1073
Mailing Address - Fax:
Practice Address - Street 1:8809 LINDSEY CT
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-5104
Practice Address - Country:US
Practice Address - Phone:317-770-1073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst