| C. Richard Spates, Ph.d., Pc | |
|
4715 Carver Dr Kalamazoo MI 49009-9504 | |
| (269) 599-6869 | |
| Not Available |
| Full Name | C. Richard Spates, Ph.d., Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4715 Carver Dr, Kalamazoo, Michigan |
| Authorized Official Name and Position | Charles Richard Spates (PRESIDENT) |
| Authorized Official Contact | 2695996869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Richard Spates, Ph.d., Pc 4715 Carver Dr Kalamazoo MI 49009-9504 Ph: (269) 599-6869 | C. Richard Spates, Ph.d., Pc 4715 Carver Dr Kalamazoo MI 49009-9504 Ph: (269) 599-6869 |
| NPI Number | 1831586023 |
|---|---|
| Provider Enumeration Date | 04/25/2015 |
| Last Update Date | 04/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831586023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301002505 (Michigan) | Primary |
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