Provider Demographics
NPI:1558790451
Name:ULRICH-WRIGHT, ERIN (MA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ULRICH-WRIGHT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:ULRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4912 E PICKARD ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2080
Mailing Address - Country:US
Mailing Address - Phone:517-490-1455
Mailing Address - Fax:
Practice Address - Street 1:4912 E PICKARD ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2080
Practice Address - Country:US
Practice Address - Phone:517-490-1455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015508103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist