Provider Demographics
NPI:1689958498
Name:RUTIGLIANO, BRIDGET ELIZABETH (MA, LPC-MHSP, NCC)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:ELIZABETH
Last Name:RUTIGLIANO
Suffix:
Gender:F
Credentials:MA, LPC-MHSP, NCC
Other - Prefix:MS
Other - First Name:BRIDGET
Other - Middle Name:ELIZABETH
Other - Last Name:WALDRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1783 RED JACKET DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4483
Mailing Address - Country:US
Mailing Address - Phone:629-206-8441
Mailing Address - Fax:
Practice Address - Street 1:1222 16TH AVE S STE 24
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2926
Practice Address - Country:US
Practice Address - Phone:629-206-8441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health