Provider Demographics
NPI:1306856646
Name:BACHER, NANCY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:BACHER
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 1:2999 NE 191ST ST STE 705
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3386
Mailing Address - Country:US
Mailing Address - Phone:305-935-0540
Mailing Address - Fax:305-937-0625
Practice Address - Street 1:2999 NE 191ST ST STE 705
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3386
Practice Address - Country:US
Practice Address - Phone:305-935-0540
Practice Address - Fax:305-937-0625
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3496103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3677Medicare ID - Type Unspecified