Healthcare Provider Details

I. General information

NPI: 1346306487
Provider Name (Legal Business Name): CINDY BRIDGER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 HIGH ST SUITE 7
MEDFORD MA
02155-3850
US

IV. Provider business mailing address

18 CURVE ST
LEXINGTON MA
02420-3906
US

V. Phone/Fax

Practice location:
  • Phone: 781-393-8889
  • Fax: 781-396-3948
Mailing address:
  • Phone: 781-863-0902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7367
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: