| The Bridge Therapeutic & Evaluation Services, Llc | |
|
7360 Grace Dr Columbia MD 21044-2470 | |
| (202) 731-7352 | |
| Not Available |
| Full Name | The Bridge Therapeutic & Evaluation Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7360 Grace Dr, Columbia, Maryland |
| Authorized Official Name and Position | Karena Wilson-plater (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3019387276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Therapeutic & Evaluation Services, Llc 7311 Zekiah Ct Brandywine MD 20613-5940 Ph: (301) 938-7276 | The Bridge Therapeutic & Evaluation Services, Llc 7360 Grace Dr Columbia MD 21044-2470 Ph: (202) 731-7352 |
| NPI Number | 1235742552 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235742552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
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