Provider Demographics
NPI:1679666929
Name:ALBRIGHT, CLARE (PSYD)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22792 CENTRE DR
Mailing Address - Street 2:STE. 290
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-6304
Mailing Address - Country:US
Mailing Address - Phone:949-454-0996
Mailing Address - Fax:
Practice Address - Street 1:22792 CENTRE DR
Practice Address - Street 2:STE. 290
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-6304
Practice Address - Country:US
Practice Address - Phone:949-454-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11660103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical