Provider Demographics
NPI:1528802238
Name:MCCABE, BRIDGET ANNE (MFT)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:ANNE
Last Name:MCCABE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-2926
Mailing Address - Country:US
Mailing Address - Phone:215-720-1402
Mailing Address - Fax:
Practice Address - Street 1:201 N JACKSON ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2926
Practice Address - Country:US
Practice Address - Phone:215-720-1402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist