Individual
MRS. CAROLYN BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C.
Contact information
Practice address
5422 16TH LN NE, SAINT PETERSBURG, FL 33703-1754
(813) 787-2341
Mailing address
5422 16TH LN NE, SAINT PETERSBURG, FL 33703-1754
(813) 787-2341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8835
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812013700
—
FL
05
—
890964400
—
FL
Enumeration date
01/27/2007
Last updated
05/04/2016
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