NPI 1538843255 · live from the CMS NPI Registry
Ana Julia Bridges, PhD
Psychologist, Clinical in Fayetteville, AR. National Provider Identifier 1538843255, active.
NPI record
| NPI | 1538843255 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 480 N Campus Walk, Fayetteville, AR 72701 |
| Practice phone | 479-575-4258 |
| Mailing address | 2078 N Freedom Pl, Fayetteville, AR 72704 |
| Enumerated | June 13, 2023 |
| Last updated | June 13, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 11-06P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.