Organization
BRIDGE TO LIFE
Active
Organization
BRIDGE TO LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL SMITH (DIRECTOR)
(757) 516-3909
Entity
Organization
Contact information
Practice address
5035 S LINKS CIR, SUFFOLK, VA 23435-2684
(757) 516-3909
Mailing address
5035 S LINKS CIR, SUFFOLK, VA 23435-2684
(757) 516-3909
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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