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Organization

BRIGHT SPEECH-LANGUAGE PATHOLOGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACEY AMBER BRIGHT M, S. (DIRECTOR)
(949) 500-2847
Entity
Organization

Contact information

Practice address
30320 RANCHO VIEJO RD, SUITE 2, SAN JUAN CAPISTRANO, CA 92675-1581
(949) 500-2847
(949) 661-1057
Mailing address
30320 RANCHO VIEJO RD, SUITE 2, SAN JUAN CAPISTRANO, CA 92675-1581
(949) 500-2847
(949) 661-1057

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP13502
CA

Other

Enumeration date
03/23/2010
Last updated
03/23/2010
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