Individual
DR. RICKEY LEE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1375 AGNES PL, MEMPHIS, TN 38104-4725
(901) 218-1612
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3738
TN
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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