Individual
DR. THERESA ANN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1004
OR
103T00000X
Psychologist
15415
CA
103T00000X
Psychologist
Primary
3397
AZ
Other
Enumeration date
01/05/2007
Last updated
02/16/2022
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