Provider Demographics
NPI:1811440217
Name:BISHOP, CAROLYN
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:BISHOP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:WARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:435 E MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1454
Mailing Address - Country:US
Mailing Address - Phone:317-743-8202
Mailing Address - Fax:317-247-8935
Practice Address - Street 1:435 E MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1454
Practice Address - Country:US
Practice Address - Phone:317-743-8202
Practice Address - Fax:317-247-8935
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor