Individual
BRIDGET JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
802 BARTH LN, DAYTON, OH 45429-1305
(937) 468-6868
Mailing address
802 BARTH LN, DAYTON, OH 45429-1305
(937) 468-4868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08141
OH
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459192
—
OH
Enumeration date
04/11/2019
Last updated
01/04/2023
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