| Organization Name: | BRIGHT SPEECH-LANGUAGE PATHOLOGY, INC |
| NPI Number: | 1497079263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STACEY AMBER BRIGHT (DIRECTOR) |
| Mailing Address: | 30320 Rancho Viejo Rd Suite 2 San Juan Capistrano |
| State: | CA US |
| Postal Code: | 926751581 |
| Phone Number: | 9495002847 |
| Fax Number: | 9496611057 |
| NPI Enumeration Date: | 03/23/2010 |
| NPI Last Update Date: | 03/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP13502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |