| Tricia Bridgewater | |
|
1819 W Austin Blvd Ste C Nevada MO 64772-3708 | |
| (417) 283-6151 | |
| (417) 283-6152 |
| Full Name | Tricia Bridgewater |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1819 W Austin Blvd Ste C, Nevada, Missouri |
| Authorized Official Name and Position | Patricia E Bridgewater (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4175490572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricia Bridgewater 1819 W Austin Blvd Ste C Nevada MO 64772-3708 Ph: (417) 283-6151 | Tricia Bridgewater 1819 W Austin Blvd Ste C Nevada MO 64772-3708 Ph: (417) 283-6151 |
| NPI Number | 1659625937 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659625937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1999140492 (Missouri) | Primary |
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