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General NPI Number Information
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NPI Number | 1154870368
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Entity Type | Organization
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Legal Business Name | BRIDGES PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 2747 CONEY ISLAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-5004
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Country | US
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Telephone | 917-586-5652
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Fax |
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Provider Business Mailing Address
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Address Line | 2747 CONEY ISLAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-5004
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Country | US
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Telephone | 917-586-5652
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ROBERT M MORRISON
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Credential | PSY.D.
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Telephone | 908-377-3105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 014325
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License Number State | NY
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