Traci Lee Hackmann Bates, MA LP

Psychologist · Eagan, MN

Individual Active NPI

NPI number 1750491296

Practice location

3920 Sibley Memorial Hwy
Eagan, MN 55122-1414
Phone
(651) 681-0616
Fax
(651) 681-0747

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NPI record

NPI
1750491296
Entity type
Individual (Type 1)
Enumeration date
August 30, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X LP3650 MN

Mailing address

4481 Pondview Trl SE
Prior Lake, MN 55372-2987
Phone
(952) 440-1578
Fax
(651) 994-7440

About Traci Hackmann Bates

Traci Lee Hackmann Bates, MA LP is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 3920 Sibley Memorial Hwy, Eagan, MN 55122-1414. The NPI number 1750491296 was assigned on August 30, 2006 and the record was last updated on July 8, 2007.

Traci Hackmann Bates lists a license in the registry: #LP3650 (MN) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Traci Lee Hackmann Bates, MA LP?

The NPI number is 1750491296.

What is the phone number of Traci Hackmann Bates?

The phone number listed for the practice location is (651) 681-0616.

Where is Traci Hackmann Bates located?

3920 Sibley Memorial Hwy, Eagan, MN 55122-1414.

What is the taxonomy code for Traci Hackmann Bates?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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