Provider Demographics
NPI:1760449326
Name:SACCO-LAURENS, BRIDGETTE M (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRIDGETTE
Middle Name:M
Last Name:SACCO-LAURENS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:31 HALL DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002
Mailing Address - Country:US
Mailing Address - Phone:413-256-8561
Mailing Address - Fax:866-644-0869
Practice Address - Street 1:31 HALL DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2751
Practice Address - Country:US
Practice Address - Phone:413-256-8561
Practice Address - Fax:866-644-0869
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8038103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA120581OtherFALLON COMMUNITY HEALTH P
MA7102506OtherAETNA BEHAVIORAL HEALTH
MA458398OtherTUFTS HEALTH PLAN
MAW06217OtherBLUE CROSS BLUE SHIELD
MA015367OtherVALUE OPTIONS
MA32263OtherHEALTH NEW ENGLAND
MAP00013517OtherRAILROAD MEDICARE
MA547015000OtherMAGELLAN BEHAVIORAL HEALT
MA2156638OtherCIGNA BEHAVIORAL HEALTH
MAP00013517OtherRAILROAD MEDICARE