Harrison, Bridget Mary

Harrison, Bridget Mary is an individual health care provider with primary practice located at 8200 Georgia St , Merrillville IN 46410-6227. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Harrison, Bridget Mary can be contacted via phone (219) 791-1400.

Contact Information

Primary practice address
8200 Georgia St Merrillville IN 46410-6227
Phone: (219) 791-1400
Fax: (219) 791-1422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-08-4182 Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041444A Indiana

Profile Details

NPI number 1124130448
LBN Legal business name Harrison, Bridget Mary
Credentials PHD, HSPP, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124130448 NPPES
Indiana Other 793670000 MAGELLAN
Indiana Other 000000392067 MAGELLAN
Indiana Other 11379616 MAGELLAN
Indiana MEDICAID 200429240 MAGELLAN
Indiana MEDICAID 200462360 MAGELLAN

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