OrganizationActive
Generational Bridges Neuropsychological Services PLLC
NPI 1467088062 · Clinical Neuropsychologist · Phoenix, AZ
Provider details
- NPI number
- 1467088062
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stephanie Middaugh, President(623) 322-9936
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1515 E Missouri Ave Ste 110
Phoenix, AZ 85014-2443
Phone: (623) 322-9936
Fax: (623) 218-1337
Approximate (ZIP-level) locationGet directions
Mailing address
1515 E Missouri Ave Ste 110
Phoenix, AZ 85014-2443
Other names (DBA / former)
- Doing business as
- Generational Bridges Neuropsychological Services PLLC
- Doing business as
- Generational Bridges Neuropsychological Services PLLC
Registry dates
- Enumerated
- 2020-03-16
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.