Provider Demographics
NPI:1942927025
Name:BRIGHTMAN, NANCY ELILZABETH (MS, PSYD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ELILZABETH
Last Name:BRIGHTMAN
Suffix:
Gender:F
Credentials:MS, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 CANAAN ST
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:NH
Mailing Address - Zip Code:03741-7625
Mailing Address - Country:US
Mailing Address - Phone:603-481-2453
Mailing Address - Fax:
Practice Address - Street 1:433 CANAAN ST
Practice Address - Street 2:
Practice Address - City:CANAAN
Practice Address - State:NH
Practice Address - Zip Code:03741-7625
Practice Address - Country:US
Practice Address - Phone:603-481-2453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH101962103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool