Doctor Name: | MICHELLE CHAPMAN-BRIDGES |
NPI Number: | 1083742746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0904004356 |
Business Practice Address: | 576 Jefferson Ave Mcdonald Army Health Center Fort Eustis, VA - 236045548 |
Business Phone Number: | 7573147502 |
Business Fax Number: | |
Mailing Address: | 212 Earle Ct, NEWPORT NEWS |
State: | VA |
Postal Code: | 236088925 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904004356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |