Individual
JOHN RUSSELL BRIDGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.S.
Contact information
Practice address
1016 W UNIVERSITY AVE STE 202, FLAGSTAFF, AZ 86001-2996
(970) 844-7151
Mailing address
1016 W UNIVERSITY AVE STE 202, FLAGSTAFF, AZ 86001-2996
(970) 844-7151
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY-005572
AZ
103TC0700X
Clinical Psychologist
PSY.0005360
CO
Other
Enumeration date
04/08/2016
Last updated
08/17/2023
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