Healthcare Provider Details

I. General information

NPI: 1841206851
Provider Name (Legal Business Name): KIMBERLY S WRIGHT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3295 N DRINKWATER BLVD SUITE 1
SCOTTSDALE AZ
85251-6492
US

IV. Provider business mailing address

3295 N DRINKWATER BLVD SUITE 1
SCOTTSDALE AZ
85251-6492
US

V. Phone/Fax

Practice location:
  • Phone: 602-509-6591
  • Fax: 480-820-0239
Mailing address:
  • Phone: 602-509-6591
  • Fax: 480-820-0239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3047
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: