IndividualActive
Kristina Bates, PHD
NPI 1629490701 · Clinical Child & Adolescent Psychologist · Greenville, SC
Provider details
- NPI number
- 1629490701
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 1407 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
200 Patewood Dr Ste A200
Greenville, SC 29615-3580
Phone: (864) 454-5115
Fax: (864) 454-5111
Approximate (ZIP-level) locationGet directions
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Registry dates
- Enumerated
- 2014-01-09
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.