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Michael Yates, PHD Valid NPI

Individual provider · Clinical Psychologist · Fort Campbell, KY

NPI
1336563667
Type
Individual (Type 1)
Primary specialty
Clinical Psychologist (Psychologist)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
103TC0700X
License number
1730 (KY)
Sex
Male
Sole proprietor
No
Enumerated
2014-02-06
Last updated
2014-02-06
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
(270) 798-8400

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