Individual
DR. LAIRD PATRICK BRIDGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
22772 CENTRE DR STE 205, LAKE FOREST, CA 92630-6303
(949) 636-2207
(949) 770-5433
Mailing address
22772 CENTRE DR STE 205, LAKE FOREST, CA 92630-6303
(949) 636-2207
(949) 770-5433
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY14510
CA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY14510
CA
103TC0700X
Clinical Psychologist
PSY14510
CA
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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