Individual
COURTNEY NOELLE BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 PEASE CT, ALAMEDA, CA 94501-4617
(772) 353-2150
Mailing address
1219 PEASE CT, ALAMEDA, CA 94501-4617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
030342-01
NY
235Z00000X
Speech-Language Pathologist
Primary
28849
CA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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