Individual
ERICA DAWN BACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14019 S WILLOW DR, OOLOGAH, OK 74053-3982
(808) 392-7972
Mailing address
14019 S WILLOW DR, OOLOGAH, OK 74053-3982
(808) 392-7972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TS0200X
School Psychologist
Primary
437629
OK
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
04/15/2010
Last updated
06/04/2024
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