Provider Demographics
NPI:1326429960
Name:CHRISTOPHER J. BH. BAUCHMAN, PSY.D., LLC
Entity Type:Organization
Organization Name:CHRISTOPHER J. BH. BAUCHMAN, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAUCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:561-328-7567
Mailing Address - Street 1:100 VILLAGE SQUARE XING
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4545
Mailing Address - Country:US
Mailing Address - Phone:561-328-7567
Mailing Address - Fax:844-425-2483
Practice Address - Street 1:100 VILLAGE SQUARE XING
Practice Address - Street 2:SUITE 204
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4545
Practice Address - Country:US
Practice Address - Phone:561-328-7567
Practice Address - Fax:844-425-2483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL021278251S00000X
FL2015082991251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health