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NPI 1538388939 · live from the CMS NPI Registry

Bridgeport Behavioral Clinic

Psychiatry & Neurology, Psychiatry in Bridgeport, WV. National Provider Identifier 1538388939, active.

NPI record

NPI1538388939 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Psychiatry 2084P0800X
Practice location527 Medical Park Dr Ste 105, Bridgeport, WV 26330
Practice phone304-933-3885
EnumeratedApril 24, 2007
Last updatedOctober 2, 2022
Authorized officialMuhammad Salman, President

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Psychiatry primary2084P0800X19711 (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.