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Contact Information

MICHAEL J BRIDGEWATER, PhD
7272 WURZBACH RD STE 706
SAN ANTONIO, TX78240-4803
 Phone: 210-615-3483
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL J BRIDGEWATER · (Male)

NPI Number 1336358431
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/22/2007
Last updated 06/17/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 22002
  • TX License # 30028
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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