Individual
DR. LISA GREY BRIDGEWATER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
229 JOHNSTON ST, ROCK HILL, SC 29730-3579
(803) 517-0322
Mailing address
PO BOX 828, CHESTER, SC 29706-0828
(803) 517-0322
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
842
SC
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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