Individual
CHARLES F. BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
600 CAISSON HILL ROAD, FORT RILEY, KS 66442-5037
(785) 239-7155
(785) 239-7364
Mailing address
1468 TANGLEWOOD RD, ABILENE, TX 79605-4724
(540) 557-4724
(785) 239-7364
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1151
AL
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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