| The Bridge Therapy Lcsw, Pllc | |
|
9 Kattelville Rd Binghamton NY 13901-5859 | |
| (607) 245-6259 | |
| Not Available |
| Full Name | The Bridge Therapy Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9 Kattelville Rd, Binghamton, New York |
| Authorized Official Name and Position | John A Davidson (OWNER) |
| Authorized Official Contact | 6072456259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Therapy Lcsw, Pllc 9 Kattelville Rd Ste 1 Binghamton NY 13901-5821 Ph: (607) 245-6259 | The Bridge Therapy Lcsw, Pllc 9 Kattelville Rd Binghamton NY 13901-5859 Ph: (607) 245-6259 |
| NPI Number | 1790425924 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790425924 | NPI | - | NPPES |
| 2727902 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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