Provider Demographics
NPI:1922314491
Name:BISBEE, ELISE CHRISTINA SIMONDS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELISE
Middle Name:CHRISTINA SIMONDS
Last Name:BISBEE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ELISE
Other - Middle Name:
Other - Last Name:SIMONDS-BISBEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:508 FULTON ST
Mailing Address - Street 2:DURHAM VAMC (116B)
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3875
Mailing Address - Country:US
Mailing Address - Phone:919-286-0411
Mailing Address - Fax:
Practice Address - Street 1:508 FULTON ST
Practice Address - Street 2:DURHAM VAMC (116B)
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-0411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3989103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical