Doctor Name: | MARTHA A BATES |
NPI Number: | 1407984305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4618 Old Manchester Hwy Tullahoma, TN - 373886745 |
Business Phone Number: | 9313933485 |
Business Fax Number: | 9313932342 |
Mailing Address: | 66 Stacy Ann Rd Lot 16, MANCHESTER |
State: | TN |
Postal Code: | 373554336 |
Phone Number: | 9317289056 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |