Organization
BRIDGE CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA L MCCORMACK MD, PHD (CO-OWNER)
(617) 901-9444
Entity
Organization
Contact information
Practice address
77 SWANTON ST STE 2, WINCHESTER, MA 01890-2039
(781) 922-4499
Mailing address
77 SWANTON ST STE 2, WINCHESTER, MA 01890-2039
(781) 922-4499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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