Healthcare Provider Details

I. General information

NPI: 1770652612
Provider Name (Legal Business Name): PATRICIA EVANS WRIGHT PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 ARBOR TRL
COHUTTA GA
30710-9323
US

IV. Provider business mailing address

4411 ARBOR TRL
COHUTTA GA
30710-9323
US

V. Phone/Fax

Practice location:
  • Phone: 706-537-2480
  • Fax: 706-537-2480
Mailing address:
  • Phone: 706-537-2480
  • Fax: 706-537-2480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY002287
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: