Bishop-Gilyard, Chanelle Tiffani

Bishop-Gilyard, Chanelle Tiffani is an individual health care provider with primary practice located at 3535 Market St , Philadelphia PA 19104-3309. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bishop-Gilyard, Chanelle Tiffani can be contacted via phone (610) 781-6611.

Contact Information

Primary practice address
3535 Market St Philadelphia PA 19104-3309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS016362 Pennsylvania
Behavioral Health & Social Service Providers / Health 103TH0004X PS016362 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS016362 Pennsylvania

Profile Details

NPI number 1891005625
LBN Legal business name Bishop-Gilyard, Chanelle Tiffani
Credentials PSYD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2010
Last updated Jan 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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