Individual
MRS. LISA HAAS BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.L.P.
Contact information
Practice address
725 S ADAMS RD, SUITE 254, BIRMINGHAM, MI 48009-6902
(248) 346-3845
Mailing address
715 BAUMAN AVE, ROYAL OAK, MI 48073-2070
(248) 346-3845
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006457
MI
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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