Provider Demographics
NPI:1689291833
Name:CABIBI, BRIDGET (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:
Last Name:CABIBI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 W BROWARD BLVD STE 203-1892
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-1314
Mailing Address - Country:US
Mailing Address - Phone:867-763-0515
Mailing Address - Fax:
Practice Address - Street 1:2630 W BROWARD BLVD STE 203-1892
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-1314
Practice Address - Country:US
Practice Address - Phone:867-763-0515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2463294103TS0200X
FL1408130103TS0200X
FL10792103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool