Provider Demographics
NPI:1023197936
Name:WRIGHT, PAMELA M (PHD)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:111 PETROL POINTE
Mailing Address - Street 2:SUITE J
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269
Mailing Address - Country:US
Mailing Address - Phone:404-664-5797
Mailing Address - Fax:770-486-4887
Practice Address - Street 1:111 PETROL POINTE
Practice Address - Street 2:SUITE J
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269
Practice Address - Country:US
Practice Address - Phone:404-664-5797
Practice Address - Fax:770-486-4887
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPSY003202103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist