Individual provider · Type 1 NPI
Traci Lee Hackmann Bates, MA LP
Psychologist · Eagan, MN
Practice location
3920 Sibley Memorial Hwy
Eagan, MN 55122-1414
Fax (651) 681-0747
Mailing address
4481 Pondview Trl SE
Prior Lake, MN 55372-2987
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | LP3650 (MN) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1750491296
Traci Lee Hackmann Bates, MA LP's National Provider Identifier is 1750491296, issued on Aug 30, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Eagan, MN. The record was last updated on Jul 8, 2007.