Individual
MARY WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25615 N RANCH GATE RD, SCOTTSDALE, AZ 85255-2141
(618) 593-2662
Mailing address
2400 N BULLARD AVE, APT 1149, GOODYEAR, AZ 85395-3300
(618) 593-2662
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8884
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112477
OTHER
AZ
Enumeration date
06/06/2014
Last updated
06/06/2014
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