Individual
MARTHA ANN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6224 FAYETTEVILLE RD STE 105, DURHAM, NC 27713-6288
(919) 439-6120
(919) 246-4420
Mailing address
6224 FAYETTEVILLE RD STE 105, DURHAM, NC 27713-6288
(919) 439-6120
(919) 246-4420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045XU
BCBSNC
NC
05
—
6000598
—
NC
01
—
61-00244
EVERCARE
—
01
—
P00036711
RR MEDICARE
NC
Enumeration date
08/22/2005
Last updated
03/10/2020
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