Healthcare Provider Details

I. General information

NPI: 1255643045
Provider Name (Legal Business Name): EMILY RAEBECK WRIGHT MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY CLAY RAEBECK

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HIGHVIEW DR
RIDGEFIELD CT
06877-2007
US

IV. Provider business mailing address

20 HIGHVIEW DR
RIDGEFIELD CT
06877-2007
US

V. Phone/Fax

Practice location:
  • Phone: 631-680-8160
  • Fax:
Mailing address:
  • Phone: 631-680-8160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number020125
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: