Provider Demographics
NPI:1003920208
Name:BACHMANN, CHRISTINE REINEKE (PSYD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:REINEKE
Last Name:BACHMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 POSTON RD
Mailing Address - Street 2:SUITE 145
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3424
Mailing Address - Country:US
Mailing Address - Phone:843-556-4157
Mailing Address - Fax:843-763-8747
Practice Address - Street 1:1 POSTON RD
Practice Address - Street 2:SUITE 145
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3424
Practice Address - Country:US
Practice Address - Phone:843-556-4157
Practice Address - Fax:843-763-8747
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC000581103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC080281Medicare UPIN