| Doctor Name: | KATIE JO BATEMAN |
| NPI Number: | 1770732687 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 390 W 1st N Ephraim, UT - 846272131 |
| Business Phone Number: | 4352834065 |
| Business Fax Number: | 4352835387 |
| Mailing Address: | 255 W Main St, MOUNT PLEASANT |
| State: | UT |
| Postal Code: | 846471331 |
| Phone Number: | 4354622416 |
| Fax Number: | 4354629350 |
| NPI Enumeration Date: | 09/16/2008 |
| NPI Last Update Date: | 09/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |