Provider Demographics
NPI:1144845694
Name:BRIGHTON PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:BRIGHTON PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:RAYNOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:585-257-0366
Mailing Address - Street 1:11 SCHOEN PLACE
Mailing Address - Street 2:1ST FLOOR, SUITE 1
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2205
Mailing Address - Country:US
Mailing Address - Phone:585-257-0366
Mailing Address - Fax:
Practice Address - Street 1:11 SCHOEN PLACE
Practice Address - Street 2:1ST FLOOR, SUITE 1
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-2205
Practice Address - Country:US
Practice Address - Phone:585-257-0366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty