Individual
BENJAMIN BACHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7800 W. OAKLAND PARK BLVD., SUITE 102, SUNRISE, FL 33351-6742
(954) 742-8400
Mailing address
7800 W. OAKLAND PARK BLVD., SUITE 102, SUNRISE, FL 33351-6742
(954) 742-8400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9660
FL
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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