Individual
DIANE MARIE BACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4201 MANNHEIM RD STE G, JASPER, IN 47546-9617
(812) 481-9988
(812) 481-9989
Mailing address
4201 MANNHEIM RD STE G, JASPER, IN 47546-9617
(812) 481-9988
(812) 481-9989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004528A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374159
ATHEM
IN
01
—
11481207
CAQH
IN
01
—
117731
SIHO
IN
01
—
600014293
MAGELLAN MIS#
IN
Enumeration date
01/25/2007
Last updated
04/29/2014
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