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NPI Code Detail

MEDICARE: ALYSSA BRIGHT

MEDICARE: ALYSSA BRIGHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2202011616VA

General Provider Information

NPI Number : 1770264483
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA BRIGHT
Provider Business Mailing Address
First Line : 1311 MAMARONECK AVE STE 140
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5224
Country : US
Telephone Number : 914-294-4050
Fax Number :
Provider Business Practice Location Address
First Line : 5205 COMMONWEALTH CENTRE PKWY
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23112-2623
Country : US
Telephone Number : 804-977-2770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2023
Last Update Date : 10/10/2024

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Directions to “ ALYSSA BRIGHT ” Practice Location

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