Provider Demographics
NPI:1841066586
Name:BRIDGES, CATHERINE (AMFT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BRIDGES
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:BRIDGES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AFMT
Mailing Address - Street 1:668 E FIDDLERS COVE DR UNIT 43
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-9745
Mailing Address - Country:US
Mailing Address - Phone:435-557-0752
Mailing Address - Fax:
Practice Address - Street 1:3922 N MINERSVILLE HWY
Practice Address - Street 2:
Practice Address - City:ENOCH
Practice Address - State:UT
Practice Address - Zip Code:84721-7224
Practice Address - Country:US
Practice Address - Phone:435-267-4212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14208372-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist