Provider Demographics
NPI:1285631291
Name:WRIGHT, LINDA J. (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LINDA J.
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18161 MORRIS AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-2140
Mailing Address - Country:US
Mailing Address - Phone:708-798-6032
Mailing Address - Fax:708-535-0532
Practice Address - Street 1:18161 MORRIS AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-2108
Practice Address - Country:US
Practice Address - Phone:708-798-6032
Practice Address - Fax:708-535-0532
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-003283103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL004542679OtherAETNA
IL054798000OtherMAGELLAN BEHAVIORAL HEALT
IL090044OtherMANAGED HEALTH NETWORK
IL0001673252OtherBLUE CROSS BLUE SHIELD
IL280937OtherVALUE OPTIONS
IL071-003283OtherCLIN PSYCHOLOGY LICENSE
IL004542679OtherAETNA