Provider Demographics
NPI:1700179140
Name:GHIDONI, BRIDGET
Entity Type:Individual
Prefix:MISS
First Name:BRIDGET
Middle Name:
Last Name:GHIDONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569-1622
Mailing Address - Country:US
Mailing Address - Phone:508-341-1329
Mailing Address - Fax:
Practice Address - Street 1:123 S MAIN ST
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-1622
Practice Address - Country:US
Practice Address - Phone:508-341-1329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor