Most Relevant Information
Provider Data
| NPI Number: | 1003489824 |
| Provider Name: | NICHOLAS BACH PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 270198 |
Most Important Dates
| Enumeration Date: | 07/20/2021 |
| Last Updated: | 07/20/2021 |
Provider Practice Location
350 EVERGREEN RD STE 104
LOUISVILLE
KY
402431010
Practice Location Phone/Fax
| Phone: | 5022030838 |
| Fax: |
Provider Mailing Location
350 EVERGREEN RD STE 104
LOUISVILLE
KY
402431010
Provider Mailing Phone/Fax
| Phone: | 5022030838 |
| Fax: |