| NPI | 1780071977 |
|---|---|
| Professional Name | C. RICHARD SPATES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301002505) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301002505) |
| 103TH0100X Psychologist, Health Service (Licence: MI 6301002505) | |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |