| NPI | 1689858193 |
|---|---|
| Professional Name | JOAN S BACON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS 007690L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS 007690L) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-04-09 |