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NPI Code Detail

MEDICARE: JENNIFER JANE WRIGHT M.A.,CCC-A

MEDICARE:   JENNIFER JANE WRIGHT  M.A.,CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063481265
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JANE WRIGHT M.A.,CCC-A
Provider Business Mailing Address
First Line : 401 W HAMPDEN PL STE 240
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80110-2471
Country : US
Telephone Number : 720-341-4485
Fax Number :
Provider Business Practice Location Address
First Line : 401 W. HAMPDEN PL
Second Line : SUITE 240
City : ENGLEWOOD
State : CO
Zip : 80110-2471
Country : US
Telephone Number : 303-788-7880
Fax Number : 303-788-7883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 12/15/2011

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