MEDICARE: WENDY C WRIGHT LMFT

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	106H00000X	Marriage & Family Therapist	MH9300	FL

General Provider Information

NPI Number	:	1821308966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY C WRIGHT LMFT

Provider Business Mailing Address
First Line	:	445 WRIGHT ST APT 314
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1156
Country	:	US
Telephone Number	:	720-298-8944
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 S JACKSON ST STE 412
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3807
Country	:	US
Telephone Number	:	720-298-8944
Fax Number	:

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

Provider Enumeration Date	:	10/07/2010
Last Update Date	:	11/22/2017

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