Dr. Dustin Brett Bridges, PhD
Psychologist, Clinical in Roseville, CA. Individual provider (NPI-1).
NPI number1407392012
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1407392012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dustin Brett Bridges
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2017
- Last updated
- Feb 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 31370 | CA | Yes |
Practice location
1660 E Roseville Pkwy Ste 100Roseville, CA 95661-3988
Phone 916-342-5168
Mailing address
1891 E Roseville Pkwy Ste 100Roseville, CA 95661-7974
Phone 916-342-5168
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