Provider Demographics
NPI:1598009409
Name:WRIGHT, JANICE DUKES (MSP, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:DUKES
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4669 BOWMAN BRANCH HWY
Mailing Address - Street 2:
Mailing Address - City:BRANCHVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29432-2201
Mailing Address - Country:US
Mailing Address - Phone:803-274-8959
Mailing Address - Fax:
Practice Address - Street 1:5721 SPRINGFIELD RD
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:SC
Practice Address - Zip Code:29853-1917
Practice Address - Country:US
Practice Address - Phone:803-266-3229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1507235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist