Individual
BRIDGET F SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1915 PROFESSIONAL CIR, AUBURN, AL 36830-2852
(334) 826-1699
(334) 826-1629
Mailing address
1915 PROFESSIONAL CIR, AUBURN, AL 36830-2852
(334) 826-1699
(334) 826-1629
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
606
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
51504454
AL
05
—
GROUP MEDICAID #
—
AL
05
—
INDIVIDUAL PROVIDER
—
AL
01
—
MAGELLAN
MAGELLAN INSURANCE
AL
Enumeration date
09/15/2006
Last updated
07/09/2007
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