Provider Demographics
NPI:1538304811
Name:BISHOP, PAULA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26121 SAN MARINO CT
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-5244
Mailing Address - Country:US
Mailing Address - Phone:714-420-3675
Mailing Address - Fax:
Practice Address - Street 1:27001 LA PAZ RD STE 403
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5529
Practice Address - Country:US
Practice Address - Phone:714-420-3675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41823106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist