Individual
DR. DAN WARD BRIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2300 HAVERSHAM CLOSE, VIRGINIA BEACH, VA 23454
(757) 962-1920
(757) 772-0554
Mailing address
2300 HAVERSHAM CLOSE, VIRGINIA BEACH, VA 23454
(757) 962-1920
(757) 772-0554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000793
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014
VALUE OPTIONS
—
01
—
087087
SENTARA OPTIMA
—
01
—
099310
ANTHEM PPO
—
01
—
133055
MANAGED HEALTH NETWORK
—
01
—
254517
MAGELLAN
—
01
—
P00129394
MCARE RAILROAD
—
Enumeration date
02/08/2006
Last updated
08/29/2012
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