Provider Demographics
NPI:1154615615
Name:BAUCHMAN, CHRISTOPHER JAMES BH (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES BH
Last Name:BAUCHMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:J BH
Other - Last Name:BAUCHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
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
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9248103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical