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Contact Information

LISA G. BRIDGEWATER, PH.D. PA
229 JOHNSTON ST
ROCK HILL, SC29730-3579
 Phone: 803-517-0322
 Fax: 803-328-1866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA G. BRIDGEWATER, PH.D. PA

NPI Number 1699105882
LBN Legal business name LISA G. BRIDGEWATER, PH.D. PA
Authorized official LISA BRIDGEWATER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/25/2013
Last updated 11/25/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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