Doctor Name: | JOHN E BINGHAM |
NPI Number: | 1003963018 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EDD LMHC |
License Number: | MH000048 |
Business Practice Address: | 4400 Bayou Blvd Ste 8 Pensacola, FL - 32503 |
Business Phone Number: | 8504749882 |
Business Fax Number: | 8504791821 |
Mailing Address: | 4400 Bayou Blvd, Ste 8 PENSACOLA |
State: | FL |
Postal Code: | 32503 |
Phone Number: | 8504749882 |
Fax Number: | 8504791821 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH000048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |