Organization
MEMORY BRIDGING INCORPORATED
Active
Organization
MEMORY BRIDGING INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE E BABER (DIRECTOR OF ADMINISTRATION)
(850) 267-0030
Entity
Organization
Contact information
Practice address
16154 ROCK CRYSTAL DR, PARKER, CO 80134-3305
(303) 328-1195
(303) 557-6240
Mailing address
141 MACK BAYOU LOOP, SUITE 201, SANTA ROSA BEACH, FL 32459-7194
(850) 267-0030
(850) 267-0034
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
803
CO
Other
Enumeration date
12/13/2007
Last updated
07/28/2009
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