MEDICARE: DR. JULIANNE C WRIGHT

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	103T00000X	Psychologist	2720	CO

General Provider Information

NPI Number	:	1851552814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANNE C WRIGHT

Provider Business Mailing Address
First Line	:	7415 WINDING OAKS DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-2541
Country	:	US
Telephone Number	:	719-494-4453
Fax Number	:

Provider Business Practice Location Address
First Line	:	7415 WINDING OAKS DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-2541
Country	:	US
Telephone Number	:	719-494-4453
Fax Number	:

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

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	05/10/2013

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