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Individual

DR. JOSEPH WILLIAM BASCUAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D PSYCHOLOGIST

Contact information

Practice address
20111 CHEETAH LN, ESTERO, FL 33928-2006
(239) 444-6995
Mailing address
20111 CHEETAH LN, ESTERO, FL 33928-2006
(239) 444-6995

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10110
FL
103TC0700X
Clinical Psychologist
10110
FL

Other

Enumeration date
02/06/2022
Last updated
02/06/2022
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