Provider Demographics
NPI:1487672242
Name:BRIGHTBILL, BEVERLYN MARIE (MA)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLYN
Middle Name:MARIE
Last Name:BRIGHTBILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 WEGMAN RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606
Mailing Address - Country:US
Mailing Address - Phone:610-779-8781
Mailing Address - Fax:610-775-5203
Practice Address - Street 1:809 WERNER STREET
Practice Address - Street 2:
Practice Address - City:MOHNTON
Practice Address - State:PA
Practice Address - Zip Code:19540
Practice Address - Country:US
Practice Address - Phone:610-779-8781
Practice Address - Fax:610-775-5203
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006495L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist