Individual
ALEXIS BRIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.A.
Contact information
Practice address
5108 REAGAN DR, SUITE 14, CHARLOTTE, NC 28206-3103
(980) 498-6764
Mailing address
9615 BONITA LN APT 616, CHARLOTTE, NC 28262-1082
(704) 807-2102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5029
NC
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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