Provider Demographics
NPI:1851533202
Name:WRIGHT, JULIE (MS, CCC, SLP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1462 FORCE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-1708
Mailing Address - Country:US
Mailing Address - Phone:347-721-8439
Mailing Address - Fax:
Practice Address - Street 1:1462 FORCE DR
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-1708
Practice Address - Country:US
Practice Address - Phone:347-721-8439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0171461235Z00000X
NJ966330235Z00000X
NJ41YS01001900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist