MEDICARE: DR. DARLENE ANNETTE WRIGHT PH.D.

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	103TC0700X	Clinical Psychologist	071005229	IL

General Provider Information

NPI Number	:	1518156165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARLENE ANNETTE WRIGHT PH.D.

Provider Business Mailing Address
First Line	:	3100 SCHOFIELD RD BLDG 1179
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78234-7577
Country	:	US
Telephone Number	:	210-808-2542
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 SCHOFIELD RD BLDG 1179
Second Line	:
City	:	JBSA FT SAM HOUSTON
State	:	TX
Zip	:	78234-7577
Country	:	US
Telephone Number	:	210-808-2542
Fax Number	:

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

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	09/30/2024

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