| Bridges 2 Psychological Services, Llc | |
|
639 Atlantic St Se Washington DC 20032-3738 | |
| (202) 849-2915 | |
| Not Available |
| Full Name | Bridges 2 Psychological Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 639 Atlantic St Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Angelina Barros Dickerson (DIRECTOR/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2028492915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges 2 Psychological Services, Llc 639 Atlantic St Se Washington DC 20032-3738 Ph: (202) 849-2915 | Bridges 2 Psychological Services, Llc 639 Atlantic St Se Washington DC 20032-3738 Ph: (202) 849-2915 |
| NPI Number | 1467604405 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 04/09/2018 |
| Medicare PECOS PAC ID | 5890854616 |
|---|---|
| Medicare Enrollment ID | O20081110000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467604405 | NPI | - | NPPES |
| 414581000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 04233 (Maryland) | Primary |
| Provider Name | Angelina Barros Dickerson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699958496 PECOS PAC ID: 0840359626 Enrollment ID: I20081107000624 |
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