Individual
DR. RICHARD E BRIDGETTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
15104 RANSON ROAD, HUNTERSVILLE, NC 28078
(704) 948-9415
(704) 948-9415
Mailing address
15104 RANSON ROAD, HUNTERSVILLE, NC 28078
(704) 948-9415
(704) 948-9415
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1940
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000143
—
NC
Enumeration date
05/03/2006
Last updated
07/08/2007
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