National Provider Identifier

Bridget Crandon

Bridget Crandon is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Grand Island, NY and a listed phone number of (716) 302-4545.

NPI 1396441440Grand Island, NYMental Health Counselor

Profile Overview

NPI
1396441440
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 31, 2023
Last Updated
January 31, 2023

Practice Location

  • 52 Woodstream Dr
  • Grand Island, NY 14072-1485

Phone: (716) 302-4545

Mailing Address

  • 3696 State Route 14
  • Lyons, NY 14489-9346

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1396441440
Entity Type
Individual
Last Name
Crandon
First Name
Bridget
Name Prefix
Miss
Mailing Street Address
3696 State Route 14
Mailing City
Lyons
Mailing State
NY
Mailing ZIP Code
14489-9346
Mailing Country
US
Mailing Phone
(315) 879-1861
Practice Street Address
52 Woodstream Dr
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-1485
Practice Country
US
Practice Phone
(716) 302-4545
Enumeration Date
January 31, 2023
Last Updated
January 31, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
January 31, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)