Provider Demographics
NPI:1699984666
Name:HARRINGTON, BRIDGET MARIE (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:MARIE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1471 W CARMEN AVE APT 3S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2890
Mailing Address - Country:US
Mailing Address - Phone:773-218-1128
Mailing Address - Fax:847-663-2400
Practice Address - Street 1:9811 WOODS DR
Practice Address - Street 2:SUITE H-190
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1074
Practice Address - Country:US
Practice Address - Phone:847-663-2300
Practice Address - Fax:847-663-2400
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist