Provider Demographics
NPI:1689731382
Name:WRIGHT, MELINDA LYTAL (MCD)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:LYTAL
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 E MARIPOSA DR
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-7494
Mailing Address - Country:US
Mailing Address - Phone:909-794-9487
Mailing Address - Fax:
Practice Address - Street 1:737 E MARIPOSA DR
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-7494
Practice Address - Country:US
Practice Address - Phone:909-794-9487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU743231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist