NPI 1699122028 · live from the CMS NPI Registry
Bridgett Alexander
Psychologist, Clinical in Revere, MA. National Provider Identifier 1699122028, active.
NPI record
| NPI | 1699122028 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 454 Broadway, Revere, MA 02151 |
| Practice phone | 781-485-8222 |
| Enumerated | May 16, 2016 |
| Last updated | March 20, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist, Clinical primary | 103TC0700X | 11004 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.