Healthcare Provider Details

I. General information

NPI: 1811809718
Provider Name (Legal Business Name): DAWN MARIE WRIGHT CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 N WASHINGTON AVE
ROYAL OAK MI
48067-1735
US

IV. Provider business mailing address

709 N WASHINGTON AVE
ROYAL OAK MI
48067-1735
US

V. Phone/Fax

Practice location:
  • Phone: 248-541-7100
  • Fax: 248-541-0408
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101000962
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: