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Organization

GRACE PSYCHOLOGICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICK BACH PSY.D. (OWNER / PSYCHOLOGIST)
(502) 203-0838
Entity
Organization

Contact information

Practice address
350 EVERGREEN RD STE 104, LOUISVILLE, KY 40243-1010
(502) 203-0838
Mailing address
350 EVERGREEN RD STE 104, LOUISVILLE, KY 40243-1010
(502) 203-0838

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
07/05/2022
Last updated
07/05/2022
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