Provider Demographics
NPI:1679227946
Name:MAYER, BRIDGET (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:
Last Name:MAYER
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 1:100 CANAL POINTE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-7169
Mailing Address - Country:US
Mailing Address - Phone:609-895-1070
Mailing Address - Fax:609-896-2030
Practice Address - Street 1:100 CANAL POINTE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-7169
Practice Address - Country:US
Practice Address - Phone:609-895-1070
Practice Address - Fax:609-896-2030
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103G00000X
NJ6624103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist