=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891653119
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHIRLEY J WRIGHT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2026
-----------------------------------------------------
Last Update Date | 01/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 521 NE 25TH AVE
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34470-7034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-401-7916
-----------------------------------------------------
Fax | 352-368-7607
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 521 NE 25TH AVE
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34470-7034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-401-7916
-----------------------------------------------------
Fax | 352-368-7607
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2355S0801X
-----------------------------------------------------
Taxonomy Name | Speech-Language Assistant
-----------------------------------------------------
License Number | SI3134
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------