Provider Demographics
NPI:1790815660
Name:BRYDEN, MARGARET ST JOHN (MFT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ST JOHN
Last Name:BRYDEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 1/2 VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2723
Mailing Address - Country:US
Mailing Address - Phone:843-864-6288
Mailing Address - Fax:843-225-3300
Practice Address - Street 1:2400 1/2 VALLEY AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2723
Practice Address - Country:US
Practice Address - Phone:843-864-6288
Practice Address - Fax:843-225-3300
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001849106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist