MEDICARE: DR. BRIDGET MAYER PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist
2	103T00000X	Psychologist	6624	NJ

General Provider Information

NPI Number	:	1679227946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIDGET MAYER PSYD

Provider Business Mailing Address
First Line	:	100 CANAL POINTE BLVD STE 210
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-7169
Country	:	US
Telephone Number	:	609-895-1070
Fax Number	:	609-896-2030

Provider Business Practice Location Address
First Line	:	100 CANAL POINTE BLVD STE 210
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-7169
Country	:	US
Telephone Number	:	609-895-1070
Fax Number	:	609-896-2030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2022
Last Update Date	:	06/17/2024

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Directions to “ DR. BRIDGET MAYER PSYD” Practice Location

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