| Doctor Name: | MS. MIRIAM BRIDGET |
| NPI Number: | 1043562531 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | S0027180 |
| Business Practice Address: | 16600 W Sprague Rd Suite 245 Middleburg Heights, OH - 441306318 |
| Business Phone Number: | 4405230370 |
| Business Fax Number: | 4405230639 |
| Mailing Address: | 4450 Sexton Rd, CLEVELAND |
| State: | OH |
| Postal Code: | 441056005 |
| Phone Number: | 2166735460 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2012 |
| NPI Last Update Date: | 10/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | S0027180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |