Patricia E Bridgewater in Nevada - Clinical
Patricia E Bridgewater - NPI 1356426308
Patricia E Bridgewater is a Clinical in Nevada, Missouri. Patricia E Bridgewater practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia E Bridgewater is 1356426308. The last update date is 2014-02-24.
Patricia E Bridgewater's current location address is 1819 W Austin Blvd Ste C, Nevada, Missouri. You can contact this provider via phone number 4172836151 and fax number 4172836152. The mailing address for Patricia E Bridgewater is 1819 W Austin Blvd Ste C, Nevada, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia E Bridgewater |
|---|---|
| Address | 1819 W Austin Blvd Ste C, Nevada, Missouri |
| Phone Number | 4172836151 |
| Fax Number | 4172836152 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1356426308 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2014-02-24 |
Provider Mailing Address Detail
| Address | 1819 W Austin Blvd Ste C |
|---|---|
| City | Nevada |
| State | Missouri (MO) |
| Post Code | 647723708 |
| Phone Number | 4172836151 |
| Fax Number | 4172836152 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1999140492 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 494768302 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Patricia E Bridgewater?
The Patricia E Bridgewater has been issued the NPI (National Provider Identifier) 1356426308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Patricia E Bridgewater located?
The Patricia E Bridgewater is located at 1819 W Austin Blvd Ste C, Nevada, MO 647723708.
What is Patricia E Bridgewater's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia E Bridgewater's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356426308 to Patricia E Bridgewater?
The Centers for Medicare & Medicaid Services assigned the 1356426308 to Patricia E Bridgewater on 2006-10-26.
When was the information related to Patricia E Bridgewater most recently updated or refreshed?
The details pertaining to the Patricia E Bridgewater, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-24.