Individual
ANNE BOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
208 N WALNUT ST STE 203, SUITE 203, BLOOMINGTON, IN 47404-4926
(812) 320-0544
Mailing address
PO BOX 5124, BLOOMINGTON, IN 47407-5124
(812) 320-0544
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20041250
IN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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