Michael J. Bridgewater in Fort Worth - Family
Michael J. Bridgewater - NPI 1336358431
Michael J. Bridgewater is a Family in Fort Worth, Texas. Michael J. Bridgewater practices all healthcare services and medical treatments related to Family. The NPI Number for Michael J. Bridgewater is 1336358431. The last update date is 2021-06-17.
Michael J. Bridgewater's current location address is 3717 Wren Ave, Fort Worth, Texas. You can contact this provider via phone number 8178750770. The mailing address for Michael J. Bridgewater is 3717 Wren Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J. Bridgewater |
|---|---|
| Address | 3717 Wren Ave, Fort Worth, Texas |
| Phone Number | 8178750770 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1336358431 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2021-06-17 |
Provider Mailing Address Detail
| Address | 3717 Wren Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761332909 |
| Phone Number | 8178750770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 103Tf0000X |
| Licence No | 22002 |
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Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
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What is the unique 10-digit identification code issued to Michael J. Bridgewater by the Centers for Medicare & Medicaid Services?
The Michael J. Bridgewater has been assigned the NPI (National Provider Identifier) 1336358431 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Michael J. Bridgewater's facilities are geographically located?
The facilities of Michael J. Bridgewater are physically situated at the following location: 3717 Wren Ave, Fort Worth, TX, 761332909.
What is the Michael J. Bridgewater's specialty and taxonomy code?
The Michael J. Bridgewater's specialty is Family, and the corresponding taxonomy code is 103Tf0000X.
When did the Michael J. Bridgewater receive its 1336358431?
The Michael J. Bridgewater was issued its 1336358431 on 2007-05-22, which is the date when the organization was assigned this unique identifier.
When was the Michael J. Bridgewater's information last updated?
The Michael J. Bridgewater's information was last updated on 2021-06-17.
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