Healthcare Provider Details

I. General information

NPI: 1023295086
Provider Name (Legal Business Name): CHRISTINE WRIGHT PSYD27020
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 05/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 MISSION ST. STE. 200
SAN FRANCISCO CA
94103
US

IV. Provider business mailing address

1235 MISSION ST. STE 200
SAN FRANCISCO CA
94103
US

V. Phone/Fax

Practice location:
  • Phone: 415-558-1319
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: