Provider Demographics
NPI:1841206851
Name:WRIGHT, KIMBERLY S (PHD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:S
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3295 N DRINKWATER BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6492
Mailing Address - Country:US
Mailing Address - Phone:602-509-6591
Mailing Address - Fax:480-820-0239
Practice Address - Street 1:3295 N DRINKWATER BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6492
Practice Address - Country:US
Practice Address - Phone:602-509-6591
Practice Address - Fax:480-820-0239
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3047103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical