Bridgman Psychological Services, P.c.

NPI #1386811776 in Lake Forest, California

Provider Information

NPI Number: 1386811776
Entity Type: Organization
Organization Name: Bridgman Psychological Services, P.c.
Primary Specialty: Psychologist
Enumeration Date: May 14, 2008
Last Updated: May 14, 2008

Practice Location

Address: 22792 CENTRE DR STE 290
City: Lake Forest
State: California
ZIP Code: 92630-6304
Phone: (949) 707-6633

Authorized Official

Name: DR. LAIRD BRIDGMAN, PSY.D.
Title: PRESIDENT
Phone: (949) 707-6633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Psychologist	103T00000X	Primary

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