Provider Demographics
NPI:1053156752
Name:JAMESON, BRIDGET LAUFER (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:LAUFER
Last Name:JAMESON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 OLD ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03878-1124
Mailing Address - Country:US
Mailing Address - Phone:603-236-9324
Mailing Address - Fax:
Practice Address - Street 1:60 TAYLOR WAY
Practice Address - Street 2:
Practice Address - City:SANBORNVILLE
Practice Address - State:NH
Practice Address - Zip Code:03872-4350
Practice Address - Country:US
Practice Address - Phone:603-522-8891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHSP-108103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool