Individual
DR. DAN WARD BRIDDELL
Active
Individual
DR. DAN WARD BRIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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