Provider Demographics
NPI:1932838489
Name:BRIGHTSIDE EDUCATIONAL EVALUATIONS
Entity Type:Organization
Organization Name:BRIGHTSIDE EDUCATIONAL EVALUATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED EDUCATIONAL PSYCHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLEEN
Authorized Official - Middle Name:SILVA
Authorized Official - Last Name:CONRADI
Authorized Official - Suffix:
Authorized Official - Credentials:LEP 3697
Authorized Official - Phone:619-368-5147
Mailing Address - Street 1:5352 GOOSEBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-4629
Mailing Address - Country:US
Mailing Address - Phone:619-368-5147
Mailing Address - Fax:
Practice Address - Street 1:5352 GOOSEBERRY WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-4629
Practice Address - Country:US
Practice Address - Phone:619-368-5147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty