Mary Bridge Neurodevelopmental Program is a
Clinic/center - Developmental Disabilities based in Tacoma, Washington. Mary Bridge Neurodevelopmental Program is licensed to practice in * (Not Available) (license number ) and their current practice location is
311 S L St, Tacoma, Washington. It can be reached at their office (for appointments etc.) via phone at
(253) 403-3707.
NPI number for Mary Bridge Neurodevelopmental Program is 1831313253 and their current mailing address is 311 S L St, Tacoma, Washington. Mary Bridge Neurodevelopmental Program
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1831313253.
Healthcare Provider's Profile
| Full Name | Mary Bridge Neurodevelopmental Program |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Developmental Disabilities |
|---|
| Location | 311 S L St, Tacoma, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831313253
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 05/14/2010
Medical Identifiers
Medical identifiers for Mary Bridge Neurodevelopmental Program such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831313253 | NPI | - | NPPES |
| 7134133 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
| 261QE0002X | Clinic/center - Emergency Care | (* (Not Available)) | Secondary |
| 261QG0250X | Clinic/center - Genetics | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
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. Mary Bridge Neurodevelopmental Program 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 |
|---|
Mary Bridge Neurodevelopmental Program
311 S L St,
Tacoma, WA 98405-3720
Ph: (253) 403-3707 | Mary Bridge Neurodevelopmental Program
311 S L St,
Tacoma, WA 98405-3720
Ph: (253) 403-3707 |
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