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NPI Code Detail

MEDICARE: DR. WENDY BATES PSY.D.

MEDICARE: DR. WENDY BATES PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist36479TX
2103TC0700XClinical Psychologist36479TX

General Provider Information

NPI Number : 1003244187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDY BATES PSY.D.
Provider Business Mailing Address
First Line : 8350 N CENTRAL EXPY STE 1275
Second Line :
City : DALLAS
State : TX
Zip : 75206-1614
Country : US
Telephone Number : 972-455-9560
Fax Number : 972-791-8754
Provider Business Practice Location Address
First Line : 8350 N CENTRAL EXPY STE 1275
Second Line :
City : DALLAS
State : TX
Zip : 75206-1614
Country : US
Telephone Number : 972-455-9560
Fax Number : 972-791-8754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2013
Last Update Date : 02/14/2023

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