Organization
C. RICHARD SPATES, PH.D., PROFESSIONAL PSYCHOLOGY PC
Active
Other names
C. Richard Spates, Ph.D., PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RICHARD SPATES PH.D. (PRESIDENT)
(269) 599-6869
Entity
Organization
Contact information
Practice address
4715 CARVER DR, KALAMAZOO, MI 49009-9504
(269) 599-6869
Mailing address
4715 CARVER DR, KALAMAZOO, MI 49009-9504
(269) 599-6869
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301002505
MI
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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