| Bridge To Bridge Psychotherapy Group | |
|
21 Tamal Vista Blvd Ste 162 Corte Madera CA 94925-1146 | |
| (415) 233-7990 | |
| Not Available |
| Full Name | Bridge To Bridge Psychotherapy Group |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 21 Tamal Vista Blvd Ste 162, Corte Madera, California |
| Authorized Official Name and Position | Nicolas Chu (CO-DIRECTOR) |
| Authorized Official Contact | 4152337990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Bridge Psychotherapy Group 21 Tamal Vista Blvd Ste 162 Corte Madera CA 94925-1146 Ph: () - | Bridge To Bridge Psychotherapy Group 21 Tamal Vista Blvd Ste 162 Corte Madera CA 94925-1146 Ph: (415) 233-7990 |
| NPI Number | 1639796402 |
|---|---|
| Provider Enumeration Date | 06/28/2020 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639796402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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