Individual
DR. MICHAEL J. BACHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
725 N 12TH AVE BLDG B, ARCADIA, FL 34266-8752
(941) 776-4000
Mailing address
700 8TH AVE W STE 101, PALMETTO, FL 34221-4737
(941) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2009026784
MO
103TB0200X
Cognitive & Behavioral Psychologist
2009026784
MO
103TC0700X
Clinical Psychologist
2009026784
MO
103TC0700X
Clinical Psychologist
Primary
PY11082
FL
103TP2701X
Group Psychotherapy Psychologist
2009026784
MO
Other
Enumeration date
09/15/2009
Last updated
05/27/2021
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