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BRIDGEWAY COUNSELING CENTER INC.

Behavioral Health & Social Service Providers Counselor Mental Health

Provider NPI: 1326277625

Organization Information:
Organization Name:  BRIDGEWAY COUNSELING CENTER INC.
Organization is not Subpart
Authorized Official:  ROBERT  BURI  CLINICAL PSYCHOLOGIST  605-886-5262

Practice Location:
600 4TH ST NE SUITE 203 WATERTOWN, SD 57201-1898 US
Tel: 605-886-5262  Fax: 605-886-5228

Business Mailing Address:
600 4TH ST NE STE 203  WATERTOWN, SD 57201-1898 US
Tel: 605-886-5262  Fax: 605-886-5228

NPI Information:
NPI: 1326277625
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
N101YP2500XBehavioral Health & Social Service Providers
Counselor
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
N103K00000X
N101Y00000XBehavioral Health & Social Service Providers
Counselor
N103TA0700XBehavioral Health & Social Service Providers
Psychologist
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
SD375
N103TC1900XBehavioral Health & Social Service Providers
Psychologist
N103TE1100XBehavioral Health & Social Service Providers
Psychologist
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
N103TH0004XBehavioral Health & Social Service Providers
Psychologist
N104100000XBehavioral Health & Social Service Providers
Social Worker
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Y103T00000XBehavioral Health & Social Service Providers
Psychologist

Other Provider Identifiers:

IssuerNumberStateType
6551302SD05



American Medical Association 2012 taxonomy code information

Code: 103T00000X

Type:

Classification:



Definition:



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