Doctor Name: | KIMBERLY BACH |
NPI Number: | 1033538814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 106814 |
Business Practice Address: | 400 W 14th Ave # 79101 Amarillo, TX - 791014140 |
Business Phone Number: | 8063375016 |
Business Fax Number: | 8063375016 |
Mailing Address: | Po Box 102, UMBARGER |
State: | TX |
Postal Code: | 790910102 |
Phone Number: | 8066760267 |
Fax Number: | 8063444488 |
NPI Enumeration Date: | 04/09/2014 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106814 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |