Healthcare Provider Details

I. General information

NPI: 1093004855
Provider Name (Legal Business Name): KIMBERLY WRIGHT, PH.D., P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 07/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3295 N DRINKWATER BLVD STE 1
SCOTTSDALE AZ
85251-6437
US

IV. Provider business mailing address

3295 N DRINKWATER BLVD STE 1
SCOTTSDALE AZ
85251-6437
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 Code103TC1900X
TaxonomyCounseling Psychologist
License Number3047
License Number StateAZ

VIII. Authorized Official

Name: DR. KIMBERLY S WRIGHT
Title or Position: OWNER/ PSYCHOLOGIST
Credential: PH.D.
Phone: 602-509-6591