Individual
DR. BETHANY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
39613 N PRAIRIE LN, ANTHEM, AZ 85086-3678
(623) 694-8452
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5085
AZ
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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