NPI 1588048201

Bridgewater Behavioral Health, LLC

Organisation Psychologist Rapid City, SD

Practice location

Address: 902 Columbus St, Rapid City, SD 57701-3543
Phone: (605) 791-1514
Fax: (844) 831-2349
Mailing address: PO Box 1990, Rapid City, SD 57709-1990

Authorised official

Name: Genni L Goschke
Title: President
Phone: (605) 791-1514

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 479 (SD)

Other Psychologist providers in South Dakota →

Registry record

NPI: 1588048201
Entity type: Organization
NPI issued: 13 Jul 2015
Record last updated: 13 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.