Individual
HEATHER BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2981 22ND ST S, ARLINGTON, VA 22204-5365
(505) 401-3093
Mailing address
2981 22ND ST S, ARLINGTON, VA 22204-5365
(505) 401-3093
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007610
VA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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