Individual
DR. ROGER L BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
10301 HAGEN RANCH RD STE B6, BOYNTON BEACH, FL 33437-3723
(561) 752-9490
(561) 752-9491
Mailing address
10070 DAPHNE AVE, PALM BEACH GARDENS, FL 33410
(561) 622-1678
(561) 799-5902
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY4544
FL
103T00000X
Psychologist
Primary
PY4544
FL
Other
Enumeration date
09/07/2006
Last updated
01/07/2019
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