Organization
BATES PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRI BATES PSYD (OWNER/PSYCHOLOGIST)
(940) 549-2259
Entity
Organization
Contact information
Practice address
617 3RD ST, GRAHAM, TX 76450-3101
(940) 549-2259
(940) 549-2886
Mailing address
617 3RD ST, GRAHAM, TX 76450-3101
(940) 549-2259
(940) 549-2886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32234
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042NP
BLUE CROSS BLUE SHIELD
TX
05
—
181385901
—
TX
Enumeration date
05/03/2006
Last updated
07/27/2015
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