Individual
LATRICE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4797
Mailing address
3636 WALDO AVE APT 5H, BRONX, NY 10463-2257
(478) 998-1878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
026825
NY
103TH0100X
Health Service Psychologist
Primary
026825
NY
106H00000X
Marriage & Family Therapist
166.001165
IL
Other
Enumeration date
10/20/2017
Last updated
01/16/2025
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