Provider Demographics
NPI:1801164298
Name:BACHMAN, MEGAN ELIZABETH
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9754 KENWOOD RD
Mailing Address - Street 2:B
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6159
Mailing Address - Country:US
Mailing Address - Phone:513-793-3661
Mailing Address - Fax:513-793-3661
Practice Address - Street 1:9754 KENWOOD RD
Practice Address - Street 2:B
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-6159
Practice Address - Country:US
Practice Address - Phone:513-793-3661
Practice Address - Fax:513-793-3661
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1100623101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional