Provider Demographics
NPI:1972624179
Name:BISHOP, CHRISTOPHER L (PSYD, LCSW-C)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:L
Last Name:BISHOP
Suffix:
Gender:M
Credentials:PSYD, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9900 GREENBELT RD
Mailing Address - Street 2:SUITE E-293
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2255
Mailing Address - Country:US
Mailing Address - Phone:240-297-9857
Mailing Address - Fax:240-542-4356
Practice Address - Street 1:4700 BERWYN HOUSE RD
Practice Address - Street 2:206
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-2474
Practice Address - Country:US
Practice Address - Phone:240-297-9857
Practice Address - Fax:240-542-4356
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD04422103TC0700X, 103TC2200X, 103TF0000X, 103TF0200X, 103TM1800X, 103TP2701X
MD118091041C0700X
DCLC30007541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical