Provider Demographics
NPI:1891496501
Name:BAYOH, BOCKARIE
Entity Type:Individual
Prefix:
First Name:BOCKARIE
Middle Name:
Last Name:BAYOH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CATHERINE CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2298
Mailing Address - Country:US
Mailing Address - Phone:302-345-0596
Mailing Address - Fax:
Practice Address - Street 1:30 CATHERINE CT
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2298
Practice Address - Country:US
Practice Address - Phone:302-345-0596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities