Joseph Bacchus in Coalinga - Psychologist

Joseph Bacchus - NPI 1194908962

Joseph Bacchus is a Psychologist in Coalinga, California. Joseph Bacchus practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Joseph Bacchus is 1194908962. The last update date is 2017-03-03.

Joseph Bacchus's current location address is 24511 W. Jayne Ave., Coalinga, California. You can contact this provider via phone number 5599348077. The mailing address for Joseph Bacchus is 24511 W. Jayne Ave., Coalinga, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Bacchus
Address 24511 W. Jayne Ave., Coalinga, California
Phone Number 5599348077
Fax Number
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1194908962
Provider Enumeration Date 2007-12-14
Last Updated Date 2017-03-03

Provider Mailing Address Detail

Address 24511 W. Jayne Ave.
City Coalinga
State California (CA)
Post Code 93210
Phone Number 5599348077
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY25681
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Joseph Bacchus

What is the Joseph Bacchus's unique identification number?

The Joseph Bacchus has been assigned the NPI (National Provider Identifier) Number 1194908962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Joseph Bacchus?

The Joseph Bacchus is situated at 24511 W. Jayne Ave., in the city of Coalinga, state of CA, with the zip code 93210.

What is Joseph Bacchus's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Joseph Bacchus is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

When did Joseph Bacchus receive its 1194908962 assignment?

The Joseph Bacchus was assigned its 1194908962 on 2007-12-14, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Joseph Bacchus, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joseph Bacchus, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-03.

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