Provider Demographics
NPI:1457447914
Name:BISCHOFF, JUDITH A (LPPC)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:A
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:LPPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 NIKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7277
Mailing Address - Country:US
Mailing Address - Phone:614-337-7001
Mailing Address - Fax:614-234-9772
Practice Address - Street 1:5300 NIKE DRIVE
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7277
Practice Address - Country:US
Practice Address - Phone:614-337-7001
Practice Address - Fax:614-234-9772
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0001743101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional