Individual
DAVID S BRIDGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
781 E AUTUMN FIELD DR, SANDY, UT 84094-1872
(801) 633-3928
Mailing address
781 E AUTUMN FIELD DR, SANDY, UT 84094-1872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
116363-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116363-3902
DEPT OF PROFESSIONAL LICENSES
UT
Enumeration date
01/25/2019
Last updated
01/25/2019
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