Individual
DINAH GALE BAUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE.,MASE
Contact information
Practice address
400 N WALNUT ST, SPRINGFIELD, KY 40069-1428
(859) 481-2672
(859) 554-2725
Mailing address
400 N WALNUT ST, SPRINGFIELD, KY 40069-1428
(859) 481-2672
(859) 554-2725
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
03/17/2007
Last updated
11/04/2016
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