| Doctor Name: | BRIDGET BURRIS |
| NPI Number: | 1134380611 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 7922 Palm St Lemon Grove, CA - 919452956 |
| Business Phone Number: | 6194643488 |
| Business Fax Number: | 6194657533 |
| Mailing Address: | 1502 La Playa Ave, 211 SAN DIEGO |
| State: | CA |
| Postal Code: | 921096327 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2008 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |