MEDICARE: MRS. JANINE LAFRANCE WRIGHT M.A., CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	SLP005093	GA
2	235Z00000X	Speech-Language Pathologist	SA 9758	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1114933389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANINE LAFRANCE WRIGHT M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	905 PINE RIDGE DR
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-4632
Country	:	US
Telephone Number	:	770-837-5775
Fax Number	:	770-638-1961

Provider Business Practice Location Address
First Line	:	1304 ROCKBRIDGE RD
Second Line	:	SUITE 4
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-3138
Country	:	US
Telephone Number	:	770-638-3977
Fax Number	:	770-638-1961

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	05/12/2009

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Directions to “ MRS. JANINE LAFRANCE WRIGHT M.A., CCC-SLP” Practice Location

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