Individual
GEORGE H KATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
36500 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
(248) 489-9411
Mailing address
36500 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
(248) 489-9411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301000833
MI
106H00000X
Marriage & Family Therapist
4101005074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F323920
BLUE CROSS MICHIGAN PIN
MI
Enumeration date
06/01/2006
Last updated
12/07/2017
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