NPI 1336734649 · live from the CMS NPI Registry
Rickey Lee Bates, Ph.D.
Psychologist in Memphis, TN. National Provider Identifier 1336734649, active.
NPI record
| NPI | 1336734649 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1030 Jefferson Ave, Memphis, TN 38104 |
| Practice phone | 901-523-8990 |
| Mailing address | 1375 Agnes Pl, Memphis, TN 38104 |
| Enumerated | March 8, 2021 |
| Last updated | March 8, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 3738 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.