Provider Demographics
NPI:1932904661
Name:BRIDGEMAN, PAULA KENT (LPCC)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:KENT
Last Name:BRIDGEMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4256 WILLIAMSON VALE AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-3983
Mailing Address - Country:US
Mailing Address - Phone:678-656-6235
Mailing Address - Fax:
Practice Address - Street 1:4256 WILLIAMSON VALE AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3983
Practice Address - Country:US
Practice Address - Phone:678-656-6235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2404597101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health