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Contact Information

JOSEPH BACCHUS, PSY.D.
24511 W. JAYNE AVE.
COALINGA, CA93210
 Phone: 559-934-8077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOSEPH BACCHUS · (Male)

NPI # 1194908962
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 12/14/2007
Last updated 03/03/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY25681
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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