Provider Demographics
NPI:1114978053
Name:WRIGHT-GOOD, JUNE
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:WRIGHT-GOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 PRINCESS ANNE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3254
Mailing Address - Country:US
Mailing Address - Phone:540-368-3030
Mailing Address - Fax:540-368-3030
Practice Address - Street 1:2601 PRINCESS ANNE ST STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3254
Practice Address - Country:US
Practice Address - Phone:540-368-3030
Practice Address - Fax:540-368-3030
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002960103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical