Provider Demographics
NPI:1841611753
Name:BISHOP, ERIN H (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:H
Last Name:BISHOP
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:H
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ERIN H FOX
Mailing Address - Street 1:11346 HANNUM AVE
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6129
Mailing Address - Country:US
Mailing Address - Phone:310-413-2743
Mailing Address - Fax:
Practice Address - Street 1:11949 JEFFERSON BLVD STE 106
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230
Practice Address - Country:US
Practice Address - Phone:310-413-2743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-18
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108614106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist