Doctor Name: | THOMAS H BATES |
NPI Number: | 1366771909 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA CCC- SLP |
License Number: | |
Business Practice Address: | 960 Razorback Dr Suite 3 Houghton, MI - 499312830 |
Business Phone Number: | 9064828201 |
Business Fax Number: | 9064822771 |
Mailing Address: | 205 Osceola St, LAURIUM |
State: | MI |
Postal Code: | 499132134 |
Phone Number: | 9063376591 |
Fax Number: | 9063376597 |
NPI Enumeration Date: | 12/10/2009 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |