Basic Information
| Provider Information | |||||||||
| NPI: | 1760449326 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SACCO-LAURENS | ||||||||
| FirstName: | BRIDGETTE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 8019 | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011028000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8664314077 | ||||||||
| FaxNumber: | 4137747448 | ||||||||
| Practice Location | |||||||||
| Address1: | 31 HALL DR | ||||||||
| Address2: | AMHERST MEDICAL CENTER | ||||||||
| City: | AMHERST | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010022751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4132564441 | ||||||||
| FaxNumber: | 4132564412 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2006 | ||||||||
| LastUpdateDate: | 06/09/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 8038 | MA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 015367 | 01 | MA | VALUE OPTIONS | OTHER | 2156638 | 01 | MA | CIGNA BEHAVIORAL HEALTH | OTHER | 120581 | 01 | MA | FALLON COMMUNITY HEALTH P | OTHER | W06217 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER | 7102506 | 01 | MA | AETNA BEHAVIORAL HEALTH | OTHER | 547015000 | 01 | MA | MAGELLAN BEHAVIORAL HEALT | OTHER | 458398 | 01 | MA | TUFTS HEALTH PLAN | OTHER | P00013517 | 01 | MA | RAILROAD MEDICARE | OTHER | 32263 | 01 | MA | HEALTH NEW ENGLAND | OTHER |