NPI 1083075709 · live from the CMS NPI Registry
Bridges 2 Psychological Services LLC
Psychologist in Washington, DC. National Provider Identifier 1083075709, active.
NPI record
| NPI | 1083075709 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 639 Atlantic St Se, Washington, DC 20032 |
| Practice phone | 202-849-2915 |
| Enumerated | March 8, 2016 |
| Last updated | April 25, 2018 |
| Authorized official | Angelina Dickerson, Clinical Director/Psychologist |
| Other names | Bridges 2 Psychological Services, LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | PSY1000835 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.