OrganizationActive
Bridge to Life
NPI 1871425017 · Intellectual & Developmental Disabilities Psychologist · Suffolk, VA
Provider details
- NPI number
- 1871425017
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Crystal Smith, Director(757) 516-3909
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5035 S Links Cir
Suffolk, VA 23435-2684
Phone: (757) 516-3909
Approximate (ZIP-level) locationGet directions
Mailing address
5035 S Links Cir
Suffolk, VA 23435-2684
Registry dates
- Enumerated
- 2026-06-02
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.