Individual
CONSTANCE BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., MT-BC
Contact information
Practice address
1213 E BRONSON ST, SOUTH BEND, IN 46615-1141
(574) 287-8342
Mailing address
1213 E BRONSON ST, SOUTH BEND, IN 46615-1141
(574) 287-8342
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
08208
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200939840 A
—
IN
Enumeration date
01/15/2008
Last updated
08/31/2009
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