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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