Provider Demographics
NPI:1871558080
Name:BACHMAN, DAVID FRANKLIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANKLIN
Last Name:BACHMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1511
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-1511
Mailing Address - Country:US
Mailing Address - Phone:509-554-4675
Mailing Address - Fax:509-396-9653
Practice Address - Street 1:719 JADWIN AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4217
Practice Address - Country:US
Practice Address - Phone:509-554-4675
Practice Address - Fax:509-396-9653
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003190103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7089816Medicaid
WAG8851516Medicare ID - Type Unspecified
WA7089816Medicaid