Provider Demographics
NPI:1750171450
Name:BRIGHTCOVE THERAPY CO
Entity type:Organization
Organization Name:BRIGHTCOVE THERAPY CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:N
Authorized Official - Last Name:FEARON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:201-893-8775
Mailing Address - Street 1:866 CASTLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-9145
Mailing Address - Country:US
Mailing Address - Phone:201-893-8775
Mailing Address - Fax:
Practice Address - Street 1:866 CASTLEWOOD DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-9145
Practice Address - Country:US
Practice Address - Phone:201-893-8775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty