Individual
DR. MARTHA JANE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5639 SASHABAW RD, CLARKSTON, MI 48346-3149
(248) 922-9077
(248) 922-9040
Mailing address
5639 SASHABAW RD, CLARKSTON, MI 48346-3149
(248) 922-9077
(248) 922-9040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007543619
AETNA
—
01
—
680F331960
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/18/2006
Last updated
10/13/2008
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