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Contact Information

LISA G BRIDGEWATER, PhD
229 JOHNSTON ST
ROCK HILL, SC29730-3579
 Phone: 803-517-0322
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA G BRIDGEWATER · (Female)

NPI # 1366403081
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 842
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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