Individual
DR. BRAD L BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2102 N 30TH ST, SUITE B, TACOMA, WA 98403-3319
(253) 383-0101
(253) 383-0149
Mailing address
2102 N 30TH ST, SUITE B, TACOMA, WA 98403-3319
(253) 383-0101
(253) 383-0149
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1546
WA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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