Healthcare Provider Details

I. General information

NPI: 1922396167
Provider Name (Legal Business Name): JOHN C. WRIGHT PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DANALL HALL COUNSELING & PSYCHIATRIC SERVICE 37TH & O STREETS, NW
WASHINGTON DC
20057-1105
US

IV. Provider business mailing address

1 DANALL HALL COUNSELING & PSYCHIATRIC SERVICE 37TH & O STREETS, NW
WASHINGTON DC
20057-1105
US

V. Phone/Fax

Practice location:
  • Phone: 202-687-6961
  • Fax: 202-687-6158
Mailing address:
  • Phone: 202-687-6961
  • Fax: 202-687-6158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY1000352
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: