Provider Demographics
NPI:1518048552
Name:WRIGHT, PHILLIP G (PHD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:G
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 MCCALLIE AVE
Mailing Address - Street 2:SUITE 401, PLAZA TWO,
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-3256
Mailing Address - Country:US
Mailing Address - Phone:423-629-5524
Mailing Address - Fax:423-698-7235
Practice Address - Street 1:2339 MCCALLIE AVE
Practice Address - Street 2:SUITE 401, PLAZA TWO,
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-3256
Practice Address - Country:US
Practice Address - Phone:423-629-5524
Practice Address - Fax:423-698-7235
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1260103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical