Clinical Bridge
Clinical Bridge provides Clinical Neuropsychologist services in Southington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.
- Licensed in
- CT
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
209 Main StSouthington, CT 06489-2539 Not confirmed with CMS for 17 years — call before visiting
Phone: (203) 216-2036
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neuropsychologist (primary) | Taxonomy 103G00000X · Licence 001477 (CT) |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X · Licence 001477 (CT) |
Record details
| NPI number | 1235463845 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Michaelis — President · (203) 216-2036 |
| NPI enumerated | September 29, 2009 |
| Last updated in NPPES | September 29, 2009 |
| Mailing address | 209 Main St, Southington, CT 06489-2539 |