IndividualActive
Lee Bridgewater, PH.D.
NPI 1215020219 · Group Psychotherapy Psychologist · Daytona Beach, FL
Provider details
- NPI number
- 1215020219
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 672 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
551 National Health Care Dr
Daytona Beach, FL 32114-1495
Phone: (386) 323-7500
Approximate (ZIP-level) locationGet directions
Mailing address
194 Centennial Ln
Daytona Beach, FL 32119-2356
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.