SearchVirginia103TC0700X

Derek Bacchus, PH.D

NPI 1811130107 · on the registry since 2009

Practice

Address
1970 Roanoke Blvd
Psychology (116b1)
Salem, VA 24153
Phone
(540) 982-2463
Fax
(540) 224-1976
Organisation at this address
Salem Vamc
Salem Vamc
Salem Vamc
Pulaski Va Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
663

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia