Rachel Jiangying Bridge
Individual provider Active NPI Counselor · Latrobe, PA
NPI 1508624529 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1508624529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- SW141156 (PA)
- Practice address
- 1501 Ligonier St Ste 200
Latrobe, PA 15650-2912 - Phone
- (724) 805-0166
- Fax
- (724) 805-0166
- NPI assigned
- Mar 13, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW141156 | PA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SW141156 | PA | Yes |
Addresses
Primary practice location
1501 Ligonier St Ste 200
Latrobe, PA 15650-2912
Mailing address
1501 Ligonier St Ste 200
Latrobe, PA 15650-2912
Phone (724) 805-0166
Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.