Provider Demographics
NPI:1669490363
Name:BISHOP, BARBARA DULANEY (ED D LMHC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:DULANEY
Last Name:BISHOP
Suffix:
Gender:F
Credentials:ED D LMHC
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:MILLER
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ED D LMHC
Mailing Address - Street 1:6000A SAWGRASS VILLAGE CIRCLE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082
Mailing Address - Country:US
Mailing Address - Phone:904-280-0448
Mailing Address - Fax:904-273-7430
Practice Address - Street 1:6000A SAWGRASS VILLAGE CIRCLE
Practice Address - Street 2:SUITE 12
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082
Practice Address - Country:US
Practice Address - Phone:904-280-0448
Practice Address - Fax:904-273-7430
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH1901101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
56376742OtherUNITED BEHAVIORAL HEALTH
7278112OtherAETNA
186095OtherPHCS
Z2480OtherBCBS