Organization
GENERATIONAL BRIDGES NEUROPSYCHOLOGICAL SERVICES PLLC
Active
Other names
Generational Bridges Neuropsychological Services PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MIDDAUGH PSYD (PRESIDENT)
(623) 322-9936
Entity
Organization
Contact information
Practice address
1515 E MISSOURI AVE STE 110, PHOENIX, AZ 85014-2443
(623) 322-9936
(623) 218-1337
Mailing address
1515 E MISSOURI AVE STE 110, PHOENIX, AZ 85014-2443
(623) 322-9936
(623) 218-1337
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/15/2021
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