Bridgeway Psychological Associates Ltd. | |
519 Midland Ct Suite 102 Janesville WI 53546-2348 | |
(608) 756-9090 | |
(608) 756-2920 |
Full Name | Bridgeway Psychological Associates Ltd. |
---|---|
Speciality | Psychologist - Clinical |
Location | 519 Midland Ct, Janesville, Wisconsin |
Authorized Official Name and Position | Julie A Jacobs (OWNER) |
Authorized Official Contact | 6087569090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridgeway Psychological Associates Ltd. 519 Midland Ct Suite 102 Janesville WI 53546-2348 Ph: (608) 756-9090 | Bridgeway Psychological Associates Ltd. 519 Midland Ct Suite 102 Janesville WI 53546-2348 Ph: (608) 756-9090 |
NPI Number | 1154410595 |
---|---|
Provider Enumeration Date | 10/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154410595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 882-057 (Wisconsin) | Primary |
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