Organization
WELLNESS COMPANY VII
Active
Other names
Tricia Bridgewater
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA E BRIDGEWATER PSY.D. (LICENSED PSYCHOLOGIST)
(417) 549-0572
Entity
Organization
Contact information
Practice address
1819 W AUSTIN BLVD STE C, NEVADA, MO 64772-3708
(417) 283-6151
(417) 283-6152
Mailing address
1819 W AUSTIN BLVD STE C, NEVADA, MO 64772-3708
(417) 283-6151
(417) 283-6152
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1999140492
MO
Other
Enumeration date
11/07/2012
Last updated
03/03/2014
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