Individual
LAURA BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2 NORTH RD, SUITE 3, WARREN, NJ 07059
(908) 259-4664
Mailing address
2 NORTH RD APT 3, WARREN, NJ 07059-7184
(908) 259-4664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
024741
NY
103TC0700X
Clinical Psychologist
Primary
6967
NJ
Other
Enumeration date
04/14/2016
Last updated
10/03/2023
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