Provider Demographics
NPI:1396371845
Name:DEVLIN, BRIDGETTE (MA)
Entity Type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DRS JAMES PARKER BLVD
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1500
Mailing Address - Country:US
Mailing Address - Phone:908-433-7263
Mailing Address - Fax:
Practice Address - Street 1:10 DRS JAMES PARKER BLVD
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1500
Practice Address - Country:US
Practice Address - Phone:908-433-7263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician