Individual
CHRISTINE ANN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22 CALLE SOLARES, TUBAC, AZ 85646-1952
(520) 820-1678
Mailing address
PO BOX 1952, TUBAC, AZ 85646-1952
(520) 820-1678
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3630
AZ
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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