Bridgette Colwell Atallah, MA is a
Psychologist - Clinical based in San Clemente, California. Bridgette Colwell Atallah is licensed to practice in California (license number PSY 26225) and her current practice location is
629 Camino De Los Mares, Ste 207a, San Clemente, California. She can be reached at her office (for appointments etc.) via phone at
(949) 228-9080.
NPI number for Bridgette Colwell Atallah is 1720373954 and her current mailing address is 629 Camino De Los Mares, Ste 207a, San Clemente, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720373954.
Healthcare Provider's Profile
| Full Name | Bridgette Colwell Atallah |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 629 Camino De Los Mares, San Clemente, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720373954
- Provider Enumeration Date: 06/16/2011
- Last Update Date: 01/30/2017
Medical Identifiers
Medical identifiers for Bridgette Colwell Atallah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720373954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY 26225 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bridgette Colwell Atallah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bridgette Colwell Atallah, MA
629 Camino De Los Mares, Ste 207a,
San Clemente, CA 92673-2832
Ph: (949) 228-9080 | Bridgette Colwell Atallah, MA
629 Camino De Los Mares, Ste 207a,
San Clemente, CA 92673-2832
Ph: (949) 228-9080 |
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