Provider Demographics
NPI:1902365364
Name:WRIGHT, KIRSTIN THOMAS (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KIRSTIN
Middle Name:THOMAS
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 1:6711 BUGLE RUN
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-9753
Mailing Address - Country:US
Mailing Address - Phone:336-312-2705
Mailing Address - Fax:
Practice Address - Street 1:3849 BULL RUN CREEK RD
Practice Address - Street 2:
Practice Address - City:FRANKLINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27248-8030
Practice Address - Country:US
Practice Address - Phone:336-520-1603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-15
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC235Z00000XOtherTAXONOMY