Provider Demographics
NPI:1568653996
Name:BISHOP, KATHIE LEAH (MS, MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KATHIE
Middle Name:LEAH
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MS, MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2451 WILLAMETTE ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3166
Mailing Address - Country:US
Mailing Address - Phone:541-517-2243
Mailing Address - Fax:
Practice Address - Street 1:2451 WILLAMETTE ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3166
Practice Address - Country:US
Practice Address - Phone:541-517-2243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health