Provider Demographics
NPI:1760558456
Name:BATES, DEBORAH (LCAT, MT-BC)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:
Last Name:BATES
Suffix:
Gender:F
Credentials:LCAT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4254 BRIDGEWATER PKWY
Mailing Address - Street 2:APT. 203
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-6129
Mailing Address - Country:US
Mailing Address - Phone:330-923-6069
Mailing Address - Fax:
Practice Address - Street 1:4254 BRIDGEWATER PKWY
Practice Address - Street 2:APT. 203
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-6129
Practice Address - Country:US
Practice Address - Phone:330-923-6069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist