Provider Demographics
NPI:1144945767
Name:BRIGHT, SYDNEY (MS)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 HUNTERS RUN DR
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-4851
Mailing Address - Country:US
Mailing Address - Phone:815-351-5188
Mailing Address - Fax:
Practice Address - Street 1:601 W BETHEL DR
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-1114
Practice Address - Country:US
Practice Address - Phone:815-351-5188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist