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Individual

CAROLYN MAY BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4131 SPICEWOOD SPRINGS RD, K8, AUSTIN, TX 78759-8661
(512) 346-3788
Mailing address
4131 SPICEWOOD SPRINGS RD, K8, AUSTIN, TX 78759-8661

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4112
TX

Other

Enumeration date
09/13/2005
Last updated
07/08/2007
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