Provider Demographics
NPI:1417251307
Name:WRIGHT, EMILY RAE (MA)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:RAE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:RAE
Other - Last Name:PELLECER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1748 INDEPENDENCE BLVD STE D1
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-2151
Mailing Address - Country:US
Mailing Address - Phone:941-359-1927
Mailing Address - Fax:941-359-1929
Practice Address - Street 1:1748 INDEPENDENCE BLVD STE D1
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-2151
Practice Address - Country:US
Practice Address - Phone:941-359-1927
Practice Address - Fax:941-359-1929
Is Sole Proprietor?:No
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker