Individual
DR. JOSEPH BACCHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
24511 W. JAYNE AVE., COALINGA, CA 93210
(559) 934-8077
Mailing address
3065 N MARTY AVE APT 126, FRESNO, CA 93722-4734
(559) 271-7520
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY25681
CA
Other
Enumeration date
12/14/2007
Last updated
03/03/2017
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