Provider Demographics
NPI:1063811818
Name:FREIHART, BRIDGET (PHD)
Entity type:Individual
Prefix:PROF
First Name:BRIDGET
Middle Name:
Last Name:FREIHART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 COREY LN
Mailing Address - Street 2:
Mailing Address - City:MENDHAM TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-3308
Mailing Address - Country:US
Mailing Address - Phone:973-598-5924
Mailing Address - Fax:
Practice Address - Street 1:47 COREY LN
Practice Address - Street 2:
Practice Address - City:MENDHAM TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07945-3308
Practice Address - Country:US
Practice Address - Phone:973-598-5924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00794500103TC0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty