Organization
TACOMA PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD L BATES PHD (OWNER)
(253) 383-0101
Entity
Organization
Contact information
Practice address
1919 N PEARL ST STE C2, TACOMA, WA 98406-2490
(253) 383-0101
(253) 383-0149
Mailing address
1919 N PEARL ST STE C2, TACOMA, WA 98406-2490
(253) 383-0101
(253) 383-0149
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207038
DEPT OF LABOR & INDUSTRIE
WA
Enumeration date
03/25/2006
Last updated
04/06/2023
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