Individual
DR. DUSTIN BRETT BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1660 E ROSEVILLE PKWY STE 100, ROSEVILLE, CA 95661-3988
(916) 342-5168
Mailing address
1891 E ROSEVILLE PKWY STE 100, ROSEVILLE, CA 95661-7974
(916) 342-5168
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31370
CA
Other
Enumeration date
01/06/2017
Last updated
02/11/2022
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