NPI 1477764041 · live from the CMS NPI Registry
Myra Binns Bridgforth, LPC, LMFT
Marriage & Family Therapist in Vienna, VA. National Provider Identifier 1477764041, active.
NPI record
| NPI | 1477764041 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 513 Maple Ave W Ste 2, Second Floor, Vienna, VA 22180 |
| Practice phone | 703-281-4703 |
| Enumerated | May 25, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 0717000531 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.