Provider Demographics
NPI:1124370721
Name:WRIGHT, MARJORIE JANEAN (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:JANEAN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:JANEAN
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:724 24TH AVE NW STE 100
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6214
Mailing Address - Country:US
Mailing Address - Phone:405-447-1571
Mailing Address - Fax:
Practice Address - Street 1:724 24TH AVE NW STE 100
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6214
Practice Address - Country:US
Practice Address - Phone:901-758-0180
Practice Address - Fax:901-758-0180
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4302235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist