Individual
CAROLYN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 EXECUTIVE DR, SUITE C, HAMPTON, VA 23666-6604
(757) 827-7707
Mailing address
2202 EXECUTIVE DR, SUITE C, HAMPTON, VA 23666-6604
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005385
VA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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