Provider Demographics
NPI:1295371862
Name:WRIGHT, PAUL FITZGERALD
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:FITZGERALD
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14112 GRAND PRE RD APT 44
Mailing Address - Street 2:
Mailing Address - City:ASPEN HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2850
Mailing Address - Country:US
Mailing Address - Phone:202-560-3744
Mailing Address - Fax:
Practice Address - Street 1:14112 GRAND PRE RD APT 44
Practice Address - Street 2:
Practice Address - City:ASPEN HILL
Practice Address - State:MD
Practice Address - Zip Code:20906-2850
Practice Address - Country:US
Practice Address - Phone:202-560-3744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst