| Doctor Name: | DR. KERRI MICHELLE BATES |
| NPI Number: | 1073571402 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 955 |
| Business Practice Address: | 617 3rd St Graham, TX - 764503101 |
| Business Phone Number: | 9405492259 |
| Business Fax Number: | 9406910062 |
| Mailing Address: | 617 3rd St, GRAHAM |
| State: | TX |
| Postal Code: | 764503101 |
| Phone Number: | 9405492259 |
| Fax Number: | 9405492886 |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 955 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |