Bacchus, Derek Orlando

Bacchus, Derek Orlando is an individual health care provider with primary practice located at 1970 Roanoke Blvd Psychology (116B1), Salem VA 24153-6404. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bacchus, Derek Orlando can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Psychology (116B1) Salem VA 24153-6404
Phone: (540) 982-2463
Fax: (540) 224-1976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004356 Virginia

Profile Details

NPI number 1811130107
LBN Legal business name Bacchus, Derek Orlando
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2009
Last updated Jan 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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