Provider Demographics
NPI:1922396167
Name:WRIGHT, JOHN C (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:WRIGHT
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Gender:M
Credentials:PHD
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Mailing Address - Street 1:1 DANALL HALL COUNSELING & PSYCHIATRIC SERVICE
Mailing Address - Street 2:37TH & O STREETS, NW
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20057-1105
Mailing Address - Country:US
Mailing Address - Phone:202-687-6961
Mailing Address - Fax:202-687-6158
Practice Address - Street 1:1 DANALL HALL COUNSELING & PSYCHIATRIC SERVICE
Practice Address - Street 2:37TH & O STREETS, NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20057-1105
Practice Address - Country:US
Practice Address - Phone:202-687-6961
Practice Address - Fax:202-687-6158
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCPY1000352103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCPSY1000352OtherLICENSE