Provider Demographics
NPI:1063481265
Name:WRIGHT, JENNIFER JANE (MA,CCC-A)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JANE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W HAMPDEN PL STE 240
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2471
Mailing Address - Country:US
Mailing Address - Phone:720-341-4485
Mailing Address - Fax:
Practice Address - Street 1:401 W. HAMPDEN PL
Practice Address - Street 2:SUITE 240
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2471
Practice Address - Country:US
Practice Address - Phone:303-788-7880
Practice Address - Fax:303-788-7883
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44038810Medicaid