Dr. Rickey Lee Bates, Ph.D.
Psychologist in Memphis, TN. Individual provider (NPI-1).
NPI number1336734649
StatusActive
Last updated in NPPESMar 8, 2021
Details
- NPI
- 1336734649
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rickey Lee Bates
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2021
- Certification date
- Mar 8, 2021
- Last updated
- Mar 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 3738 | TN | Yes |
Practice location
1030 Jefferson AveMemphis, TN 38104-2127
Phone 901-523-8990
Mailing address
1375 Agnes PlMemphis, TN 38104-4725
Phone 901-218-1612
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