KENNETH CHARLES BISHOP CDCA,PEER SUPPOT
NPI 1497307946
Peer Specialist in Lyndhurst, OH
Active since July 15, 2019
About Kenneth Charles Bishop Cdca,peer Suppot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH CHARLES BISHOP CDCA,PEER SUPPOT (NPI 1497307946) is an individual peer specialist in Lyndhurst, Ohio and active in the NPI registry since July 2019.
NPPES Registry Identity
NPI1497307946
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKENNETH CHARLES BISHOPCredential: CDCA,PEER SUPPOT
Location Address5257 ASHWOOD DRLyndhurst, OH 44124-1037
Mailing Address5257 Ashwood DrLyndhurst, OH 44124-1037 · (216) 870-9796
Phone(216) 870-9796
Sole ProprietorNo
Enumeration DateJuly 15, 2019
✔ NPI 1497307946 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
5257 ASHWOOD DR, Lyndhurst, OH 44124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497307946, enumerated as an "individual" on July 15, 2019.
The provider is located at 5257 ASHWOOD DR LYNDHURST, OH 44124 and the phone number is (216) 870-9796.
Peer Specialist with taxonomy code 175T00000X.
