Provider Demographics
NPI:1598992661
Name:WRIGHT, CYNTHIA B (PHD, RD, CD)
Entity Type:Individual
Prefix:PROF
First Name:CYNTHIA
Middle Name:B
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHD, RD, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-9314
Mailing Address - Country:US
Mailing Address - Phone:435-868-5576
Mailing Address - Fax:435-868-7045
Practice Address - Street 1:1333 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9314
Practice Address - Country:US
Practice Address - Phone:435-868-5576
Practice Address - Fax:435-868-7045
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2363350-4901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered