Organization
BRIDGE THERAPY
Active
Other names
The Bridge Therapy LCSW, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A DAVIDSON LCSW-R (OWNER)
(607) 245-6259
Entity
Organization
Contact information
Practice address
9 KATTELVILLE RD, BINGHAMTON, NY 13901-5859
(607) 245-6259
Mailing address
9 KATTELVILLE RD STE 1, BINGHAMTON, NY 13901-5821
(607) 245-6259
(607) 304-5373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2727902
—
NY
Enumeration date
03/29/2022
Last updated
08/02/2023
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