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Individual

DR. PATRICIA LATHAM BACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, RN

Contact information

Practice address
300 HARDING BLVD, SUITE 203/204 K, ROSEVILLE, CA 95678-2470
(916) 662-0767
(916) 652-0101
Mailing address
300 HARDING BLVD, SUITE 203/204 K, ROSEVILLE, CA 95678-2470
(916) 662-0767
(916) 652-0101

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PSY 22517
CA
103G00000X
Clinical Neuropsychologist
Primary
PSY 22517
CA

Other

Enumeration date
11/11/2010
Last updated
11/11/2010
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