Individual
MRS. BRIDGET KAREN DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10 BULL RUN, WEST NYACK, NY 10994-2104
(845) 624-0026
(845) 624-0026
Mailing address
10 BULL RUN, WEST NYACK, NY 10994-2104
(845) 624-0026
(845) 624-0026
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016005
NY
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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