Individual
CHARLES BACHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
166 BUNN DR STE 101, PRINCETON, NJ 08540-2800
(609) 921-6899
Mailing address
166 BUNN DR STE 101, PRINCETON, NJ 08540-2800
(609) 921-6899
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00150100
NJ
Other
Enumeration date
08/20/2007
Last updated
08/21/2007
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