Individual
DR. ELIZABETH ANNE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1250 HWY 151 E, STE D, PLATTEVILLE, WI 53818
(608) 348-4060
(608) 348-4191
Mailing address
1250 HWY 151 E, STE D, PLATTEVILLE, WI 53818
(608) 348-4060
(608) 348-4191
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2438057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43584100
—
WI
Enumeration date
07/22/2006
Last updated
07/08/2007
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