Patricia Bullard-bates, PHD | |
102 Irving St Nw, Washington, DC 20010-2921 | |
(202) 877-1170 | |
Not Available |
Full Name | Patricia Bullard-bates |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 52 Years |
Location | 102 Irving St Nw, Washington, District Of Columbia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770551038 | NPI | - | NPPES |
H360-0007 | Other | DC | BS OF NCA |
247625 | Other | MAMSI | |
40710022 | Other | DC | BCBS |
123386323 | Other | TRICARE | |
737285-000 | Other | AETNA | |
549622-04 | Other | MD | BS OF MD |
737285-000 | Other | AETNA HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1421 (District Of Columbia) | Primary |
Entity Name | Creative Change Therapy Center Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982862405 PECOS PAC ID: 8123173747 Enrollment ID: O20090903000516 |
Mailing Address | Practice Location Address |
---|---|
Patricia Bullard-bates, PHD 102 Irving St Nw, Washington, DC 20010-2921 Ph: () - | Patricia Bullard-bates, PHD 102 Irving St Nw, Washington, DC 20010-2921 Ph: (202) 877-1170 |
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