Individual
MRS. BRIDGET RENEE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
10618 BRECKENRIDGE DRIVE, LITTLE ROCK, AR 72211
(501) 217-8600
(501) 217-8636
Mailing address
10618 BRECKENRIDGE DR, LITTLE ROCK, AR 72211-1802
(501) 217-8600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1862
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154105742
—
AR
01
—
5X518
ARKANSAS BLUE CROSS & BLUE SHIELD
AR
Enumeration date
05/16/2008
Last updated
05/16/2008
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