Individual
DARRAH BINGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9734 BLUE ISLE BAY, PARKLAND, FL 33076-2889
(740) 517-0460
Mailing address
9734 BLUE ISLE BAY, PARKLAND, FL 33076-2889
(740) 517-0460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY9575
LICENSE
FL
Enumeration date
07/12/2016
Last updated
07/13/2016
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