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DARRAH BINGMAN
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1134571367
Individual Registrant: DARRAH BINGMAN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
9734 BLUE ISLE BAY PARKLAND, FL 33076-2889 US
Tel: 740-517-0460 Fax: --
Tel: 740-517-0460 Fax: --
Contact information for business:
9734 BLUE ISLE BAY PARKLAND, FL 33076-2889 US
Tel: 740-517-0460 Fax: --
Tel: 740-517-0460 Fax: --
Registration Information:
NPI: 1134571367
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | FL | PY9575 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LICENSE | PY9575 | FL | 01 |
