| Doctor Name: | MR. TOM DENNIS GATES |
| NPI Number: | 1073947032 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP-PMH |
| License Number: | R207808 |
| Business Practice Address: | 7474 Greenway Center Dr Suite 730 Greenbelt, MD - 207703504 |
| Business Phone Number: | 3019823437 |
| Business Fax Number: | |
| Mailing Address: | 1812 Bryant St Ne, WASHINGTON |
| State: | DC |
| Postal Code: | 200183626 |
| Phone Number: | 5712641682 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2013 |
| NPI Last Update Date: | 08/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | R207808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |