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PAUL BACH PHD

Clinical Neuropsychologist

Missoula, Montana

Provider NPI: 1649227059

Provider Information:
 PAUL  BACH PHD
Gender: M
Not Sole Proprietor

Practice Location:
900 N ORANGE ST THIRD FLOOR MISSOULA, MT 59802 US
Tel: 406-327-3350  Fax: 406-327-3396

Business Mailing Address:
900 N ORANGE ST THIRD FLOOR MISSOULA, MT 59802 US
Tel: 406-327-3350  Fax: 406-327-3396

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MT136

Other Provider Identifiers:

IssuerNumberStateType
0490569MT05
000081295MT04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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