Individual
DR. JEFFREY M BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
19 PECAN RUN RADL, OCALA, FL 34472-6027
(352) 687-3979
(352) 687-3979
Mailing address
19 PECAN RUN RADL, OCALA, FL 34472-6027
(352) 687-3979
(352) 687-3979
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002844
GA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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