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Contact Information

ROGER L BASH, PH D
10301 HAGEN RANCH RD STE B6
BOYNTON BEACH, FL33437-3723
 Phone: 561-752-9490
 Fax: 561-752-9491
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for ROGER L BASH · (Male)

NPI Number 1477656098
Status Active
Credentials PH D
Entity Individual
Enumeration date 09/07/2006
Last updated 01/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PY4544
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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