Provider Demographics
NPI:1063115004
Name:BATES, FRANCINE M (EDD)
Entity type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:M
Last Name:BATES
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-4920
Mailing Address - Country:US
Mailing Address - Phone:609-464-4664
Mailing Address - Fax:
Practice Address - Street 1:30 NORTHRIDGE DR
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-4920
Practice Address - Country:US
Practice Address - Phone:609-464-4664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00185000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional