Provider Demographics
NPI:1316507759
Name:BRIGHT, MEREDITH H (EDS, MA)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:H
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:EDS, MA
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:BRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDS, MA
Mailing Address - Street 1:6708 18TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-5521
Mailing Address - Country:US
Mailing Address - Phone:206-380-3897
Mailing Address - Fax:
Practice Address - Street 1:1307 N 45TH ST STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6741
Practice Address - Country:US
Practice Address - Phone:206-380-3897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60974107101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health