DEREK ORLANDO BACCHUS

SALEM, VA
NPI1811130107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: VA  0810004356)
Enumeration Date2009-04-16
Last Update Date2014-01-02
Business Address
DR. DEREK ORLANDO BACCHUS PH.D.
1970 ROANOKE BLVD PSYCHOLOGY (116B1)
SALEM, VA 24153-6404
Phone number: 540-982-2463
Mailing Address
DR. DEREK ORLANDO BACCHUS PH.D.
1970 ROANOKE BLVD PSYCHOLOGY (116B1)
SALEM, VA 24153-6404
Phone number: 540-982-2463
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