Individual
DR. REBECA SUSANA BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2525 HARBOR BLVD STE 208, PORT CHARLOTTE, FL 33952
(941) 255-5489
Mailing address
2525 HARBOR BLVD STE 208, PORT CHARLOTTE, FL 33952-5342
(941) 255-5489
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470798717-26, 27
—
NE
01
—
96097
BCBS
—
Enumeration date
08/31/2010
Last updated
01/22/2019
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