Paul Bach in Bloomsburg - Clinical Neuropsychologist

Paul Bach - NPI 1649227059

Paul Bach is a Clinical Neuropsychologist in Bloomsburg, Pennsylvania. Paul Bach practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Paul Bach is 1649227059. The last update date is 2018-01-23.

Paul Bach's current location address is 87 Schoolhouse Rd, Bloomsburg, Pennsylvania. You can contact this provider via phone number 5703172694. The mailing address for Paul Bach is 87 Schoolhouse Rd, Bloomsburg, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Bach
Address 87 Schoolhouse Rd, Bloomsburg, Pennsylvania
Phone Number 5703172694
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1649227059
Provider Enumeration Date 2006-05-30
Last Updated Date 2018-01-23

Provider Mailing Address Detail

Address 87 Schoolhouse Rd
City Bloomsburg
State Pennsylvania (PA)
Post Code 178159569
Phone Number 5703172694
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 136
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
490569 MT --

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FAQs about Paul Bach

What is the Paul Bach's unique identification number?

The Paul Bach has been assigned the NPI (National Provider Identifier) Number 1649227059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Paul Bach is physically located?

The Paul Bach is physically situated at the following address: 87 Schoolhouse Rd, Bloomsburg, PA, 178159569.

What is the Paul Bach's area of specialization and corresponding taxonomy classification?

The Paul Bach's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.

On what date did the Paul Bach receive the assignment of its 1649227059 from the Centers for Medicare & Medicaid Services?

The Paul Bach was issued its 1649227059 by the Centers for Medicare & Medicaid Services on 2006-05-30.

As of what date were the details pertaining to Paul Bach last refreshed?

The information related to the Paul Bach, including its address, specialty, and other relevant details, was last updated on 2018-01-23.

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