Provider Demographics
NPI:1366839409
Name:BRIGHT, ALBERT P (MA,, PHD)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:P
Last Name:BRIGHT
Suffix:
Gender:M
Credentials:MA,, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 ARNEILL RD
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-4743
Mailing Address - Country:US
Mailing Address - Phone:805-444-2259
Mailing Address - Fax:
Practice Address - Street 1:743 ARNEILL RD
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-4743
Practice Address - Country:US
Practice Address - Phone:805-444-2259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT11638106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist