Individual
BRADY C BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
(559) 353-6735
(559) 353-6755
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
(559) 353-6735
(559) 353-6755
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19984
CA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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