Provider Demographics
NPI:1467642157
Name:WRIGHT, MARJORIE DELL (RN, MS, LCPC)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:DELL
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RN, MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 COPLEY LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1313
Mailing Address - Country:US
Mailing Address - Phone:301-570-2034
Mailing Address - Fax:
Practice Address - Street 1:810 COPLEY LN
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1313
Practice Address - Country:US
Practice Address - Phone:301-570-2034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-28
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2269101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor