Healthcare Provider Details

I. General information

NPI: 1629549688
Provider Name (Legal Business Name): JULIA WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 S 5TH ST
ODESSA DE
19730-2078
US

IV. Provider business mailing address

1502 SPRUCE AVE
WILMINGTON DE
19805-2148
US

V. Phone/Fax

Practice location:
  • Phone: 302-376-4128
  • Fax:
Mailing address:
  • Phone: 302-552-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberO1-0001716
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: