Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH1221997 | OH |
NPI | 1043617376 |
---|---|
Provider Name | Dr. Nikki L Bishop-Kallmeyer |
First Address | Loveland, OH 45140-9308 |
Second Address | Loveland, OH 45140-9308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2014 |
Last Update Date | 02/12/2014 |