National Provider Identifier

Peggy L Bright-Berhannan, LCSW-R

Peggy L Bright-Berhannan, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Watkins Glen, NY and a listed phone number of (607) 535-8282.

NPI 1033120449Watkins Glen, NYClinical Social Worker

Profile Overview

NPI
1033120449
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 10, 2006
Last Updated
July 08, 2007

Practice Location

  • 106 S Perry St
  • Ste 4
  • Watkins Glen, NY 14891-1615

Phone: (607) 535-8282

Mailing Address

  • 625 Cayuta Ave
  • Waverly, NY 14892-1511

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1033120449
Entity Type
Individual
Last Name
Bright-Berhannan
First Name
Peggy
Middle Name
L
Credential
LCSW-R
Mailing Street Address
625 Cayuta Ave
Mailing City
Waverly
Mailing State
NY
Mailing ZIP Code
14892-1511
Mailing Country
US
Practice Street Address
106 S Perry St
Practice Address Line 2
Ste 4
Practice City
Watkins Glen
Practice State
NY
Practice ZIP Code
14891-1615
Practice Country
US
Practice Phone
(607) 535-8282
Practice Fax
(607) 535-8284
Enumeration Date
August 10, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
07300049442LI (NY)