Provider Demographics
NPI:1265789580
Name:BISCHOFF, RIKKI BROOKE (MS)
Entity type:Individual
Prefix:
First Name:RIKKI
Middle Name:BROOKE
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 39TH CT
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32968-1946
Mailing Address - Country:US
Mailing Address - Phone:772-538-1328
Mailing Address - Fax:
Practice Address - Street 1:205 39TH CT
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32968-1946
Practice Address - Country:US
Practice Address - Phone:772-538-1328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health