Provider Demographics
NPI:1679883029
Name:BRIDENSTINE, SYDNEY W (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:W
Last Name:BRIDENSTINE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 HICKS RD APT 2
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3470
Mailing Address - Country:US
Mailing Address - Phone:615-924-0791
Mailing Address - Fax:
Practice Address - Street 1:165 HICKS RD APT 2
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-3470
Practice Address - Country:US
Practice Address - Phone:615-924-0791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4146235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist