Individual
DR. LEE G BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
27620 FARMINGTON ROAD, SUITE 206, FARMINGTON HILLS, MI 48344
(248) 767-1104
Mailing address
27620 FARMINGTON ROAD, SUITE 206, FARMINGTON HILLS, MI 48344
(248) 767-1104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008278
MI
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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