Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridgeway Psychological and Counseling Services PLLC

Organization Clinical Psychologist · NPI 1649192907

Bridgeway Psychological and Counseling Services PLLC is a Clinical Psychologist in Pocatello, Idaho. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1777 E Clark St Ste 210
Pocatello, ID 83201-3357
Phone: (208) 203-2088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1649192907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Olsen — Owner · (208) 203-2088
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address1777 E Clark St Ste 210, Pocatello, ID 83201-3357

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