NPI 1053226530 · live from the CMS NPI Registry
Bright Light Therapy LLC
Speech-Language Pathologist, in Fayetteville, WV. National Provider Identifier 1053226530, active.
NPI record
| NPI | 1053226530 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 76 Jacobs Avenue, Fayetteville, WV 25840 |
| Practice phone | 304-663-1112 |
| Mailing address | 63 S Lee St, Fayetteville, WV 25840 |
| Enumerated | August 18, 2026 |
| Last updated | August 18, 2026 |
| Authorized official | Emily Sundstrom, Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.