Healthcare Provider Details

I. General information

NPI: 1083372874
Provider Name (Legal Business Name): ZARA ELLEN WRIGHT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1729 21ST ST NW
WASHINGTON DC
20009-1101
US

IV. Provider business mailing address

1205 N ST NW APT F
WASHINGTON DC
20005-5107
US

V. Phone/Fax

Practice location:
  • Phone: 202-234-0903
  • Fax: 202-559-1449
Mailing address:
  • Phone: 914-420-8821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: