NPI 1265736573

George Davison Gates, LCSW

Practitioner Psychoanalyst Independence, MO

Practice location

Address: 15901 E 43rd St S, Independence, MO 64055-5044
Phone: (816) 373-4191

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 2006007591 (MO)

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Registry record

NPI: 1265736573
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2010
Record last updated: 29 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.