Healthcare Provider Details

I. General information

NPI: 1528977360
Provider Name (Legal Business Name): NOELLE ANDREA WRIGHT SLP-CF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W ELM AVE APT Y
BURBANK CA
91502-3036
US

IV. Provider business mailing address

221 W ELM AVE APT Y
BURBANK CA
91502-3036
US

V. Phone/Fax

Practice location:
  • Phone: 424-653-0897
  • Fax:
Mailing address:
  • Phone: 424-653-0897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22090
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: