Search › Oklahoma › 171M00000X
Derra Bishop
NPI 1548829054 · on the registry since 2019
Practice
- Address
- 110 N 4th St
Ponca City, OK 74601 - Phone
- (580) 749-5056
- Organisation at this address
- Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 40
Additional practice sites
- 1613 Bradbary Ln, Ponca City, OK
- 1613 Bradbary Ln, Ponca City, OK
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2019-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma