Provider Demographics
NPI:1508419086
Name:BISHOP, MOLLY EVE (AUD, CCC-A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:EVE
Last Name:BISHOP
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 REISTERSTOWN RD STE 118A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1317
Mailing Address - Country:US
Mailing Address - Phone:443-544-7555
Mailing Address - Fax:443-544-7552
Practice Address - Street 1:1777 REISTERSTOWN RD STE 118A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1317
Practice Address - Country:US
Practice Address - Phone:443-544-7555
Practice Address - Fax:443-544-7552
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01492237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter