Provider Demographics
NPI:1457013906
Name:BRIDGE THERAPY
Entity Type:Organization
Organization Name:BRIDGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:615-429-5747
Mailing Address - Street 1:95 WHITE BRIDGE PIKE STE 510
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1490
Mailing Address - Country:US
Mailing Address - Phone:615-558-8181
Mailing Address - Fax:
Practice Address - Street 1:95 WHITE BRIDGE PIKE STE 510
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1490
Practice Address - Country:US
Practice Address - Phone:615-558-8181
Practice Address - Fax:615-334-4647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty