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Individual

BRIDGET I AHEARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
2025 W CHEESMAN RD, ALMA, MI 48801-9760
(989) 463-3451
Mailing address
2025 W CHEESMAN RD, ALMA, MI 48801-9760
(989) 463-3451

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
6301016200
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0B96028
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/02/2012
Last updated
03/26/2015
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