Individual
DR. DEBORAH BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
300 E ROOSEVELT RD STE 105, WHEATON, IL 60187
(312) 612-0397
Mailing address
300 E ROOSEVELT RD STE 105, WHEATON, IL 60187-1908
(312) 612-0397
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY30093
CA
103TC0700X
Clinical Psychologist
Primary
071008984
IL
Other
Enumeration date
08/31/2013
Last updated
05/21/2018
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