Individual
DR. HEATHER BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6520 GLENRIDGE PARK PL, SUITE 1, LOUISVILLE, KY 40222-3453
(502) 426-1234
(502) 426-3388
Mailing address
6520 GLENRIDGE PARK PL, SUITE 1, LOUISVILLE, KY 40222-3453
(502) 426-1234
(502) 426-3388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1592
KY
Other
Enumeration date
09/04/2008
Last updated
04/08/2010
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