Organization
BRIDGES PSYCHOTHERAPY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP SCOTT RICHARDS PH.D. LICENSED PSYCH (PRESIDENT)
(888) 330-6277
Entity
Organization
Contact information
Practice address
1034 HAWKS REST DR, MAPLETON, UT 84664-5006
(888) 330-6277
Mailing address
1034 HAWKS REST DR, MAPLETON, UT 84664-5006
(888) 330-6277
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/26/2021
Last updated
03/30/2021
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