Individual
DR. NICHOLAS BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
350 EVERGREEN RD STE 104, LOUISVILLE, KY 40243-1010
(502) 203-0838
Mailing address
350 EVERGREEN RD STE 104, LOUISVILLE, KY 40243-1010
(502) 203-0838
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
270198
KY
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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