Wright, Susan

Wright, Susan is an individual health care provider with primary practice located at 311 Prince Royal Dr Creative Life Change Institute, Corte Madera CA 94925. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wright, Susan can be contacted via phone (415) 927-2748.

Contact Information

Primary practice address
311 Prince Royal Dr Creative Life Change Institute Corte Madera CA 94925
Phone: (415) 927-2748
Fax: (415) 927-7948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2139 California

Profile Details

NPI number 1053415604
LBN Legal business name Wright, Susan
Credentials LCS2139
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053415604 NPPES
California MEDICAID 341654554

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