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Organization

GINNY WRIGHT, PH.D., P.C.

Active
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Organization

GINNY WRIGHT, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GINNY WRIGHT PH.D. (PRESIDENT)
(704) 377-5003
Entity
Organization

Contact information

Practice address
604 MOUNT VERNON AVE, CHARLOTTE, NC 28203-4538
(704) 377-5003
(704) 342-9970
Mailing address
604 MOUNT VERNON AVE, CHARLOTTE, NC 28203-4538
(704) 377-5003
(704) 342-9970

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1119
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03459
BLUE CROSS BLUE SHIELD
Enumeration date
08/12/2006
Last updated
08/07/2008
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