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Individual

DR. KERRI MICHELLE BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
617 3RD ST, GRAHAM, TX 76450-3101
(940) 549-2259
(940) 691-0062
Mailing address
617 3RD ST, GRAHAM, TX 76450-3101
(940) 549-2259
(940) 549-2886

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32234
TX
103TC0700X
Clinical Psychologist
955
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
274010
COMPSYCH
TX
01
87204A
BLUE CROSS BLUE SHIELD
TX
01
9339657
PHCS
TX
Enumeration date
05/03/2006
Last updated
07/08/2007
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