Whalio Doctors

NPI 1578864203

Patricia Latham Bach, PSYDRN

Practitioner Clinical Neuropsychologist Roseville, CA

Practice location

Address
300 Harding Blvd Suite 203/204 K, Roseville, CA 95678-2470
Phone
(916) 662-0767
Fax
(916) 652-0101

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY 22517 (CA)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence PSY 22517 (CA)

Registry record

NPI
1578864203
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Nov 2010
Record last updated
11 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.