Provider Demographics
NPI:1063301356
Name:GATES, TOMMIEA ANDRENE' I
Entity type:Individual
Prefix:MS
First Name:TOMMIEA
Middle Name:ANDRENE'
Last Name:GATES
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7327 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-2831
Mailing Address - Country:US
Mailing Address - Phone:510-239-8048
Mailing Address - Fax:
Practice Address - Street 1:7327 HOLLY ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-2831
Practice Address - Country:US
Practice Address - Phone:510-239-8048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst