Individual
MS. KATHARINE TAYLOR BRIDGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPA
Contact information
Practice address
3937 WESTERN BLVD, RALEIGH, NC 27606-1936
(919) 821-0790
(919) 518-9476
Mailing address
3937 WESTERN BLVD, RALEIGH, NC 27606-1936
(919) 821-0790
(919) 518-9476
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3684
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107600
—
NC
Enumeration date
12/18/2008
Last updated
11/07/2016
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