Provider Demographics
NPI:1225201601
Name:MORGAN, BRIDGET LYNN
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:LYNN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9009 CROWNE SPRINGS CIR UNIT 301
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-8150
Mailing Address - Country:US
Mailing Address - Phone:502-681-2676
Mailing Address - Fax:
Practice Address - Street 1:320 WHITTINGTON PKWY STE 101
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4917
Practice Address - Country:US
Practice Address - Phone:502-339-4511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-07-030106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist