Healthcare Provider Details

I. General information

NPI: 1578486163
Provider Name (Legal Business Name): BRIDGET DALEIDEN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W BUCKEYE RD STE 306
PHOENIX AZ
85003-2650
US

IV. Provider business mailing address

6730 N SCOTTSDALE RD STE 290
SCOTTSDALE AZ
85253-4474
US

V. Phone/Fax

Practice location:
  • Phone: 602-835-1695
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: