DR. LEE ARNOLD BRIDGEWATER PH.D. - NPI 1215020219 - Psychologist in Daytona Beach, FL

Q: What is Lee Bridgewater's NPI number?

The NPI number for Lee Bridgewater is 1215020219. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Lee Bridgewater's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Q: When was this NPI record last updated?

The NPPES record for Lee Bridgewater was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Lee Arnold Bridgewater Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEE ARNOLD BRIDGEWATER PH.D. (NPI 1215020219) is an individual group psychotherapy provider in Daytona Beach, Florida, licensed in Louisiana (672) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1215020219

Entity TypeIndividualMale

Primary Taxonomy103TP2701X

Provider Legal NameDR. LEE ARNOLD BRIDGEWATERCredential: PH.D.

Location Address551 NATIONAL HEALTH CARE DRDaytona Beach, FL 32114-1495

Mailing Address194 Centennial LnDaytona Beach, FL 32119-2356 · (386) 788-6399

Phone(386) 323-7500

Sole ProprietorYes

Enumeration DateOctober 2, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1215020219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers

Taxonomy Code103TP2701X

License✔ Licensed in LA · 672

Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 672 (LA)

551 NATIONAL HEALTH CARE DR, Daytona Beach, FL 32114

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID H BOARDMAN RPH

Pharmacist

551 NATIONAL HEALTH CARE DR, D119
DAYTONA BEACH, FL 32114

Volusia County (386) 323-7548

SHANELLE JENKINS OD

Optometrist