Provider Demographics
NPI:1932141983
Name:WRIGHT, LINDA KAY (AUD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:KAY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12775 ESCANABA DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-8615
Mailing Address - Country:US
Mailing Address - Phone:517-669-8080
Mailing Address - Fax:517-669-8070
Practice Address - Street 1:12775 ESCANABA DR
Practice Address - Street 2:SUITE 3
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-8615
Practice Address - Country:US
Practice Address - Phone:517-669-8080
Practice Address - Fax:517-669-8070
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501003233237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
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MI64OA900130OtherBCBS - DIAG AUDIOLOGY
MI562321248OtherPPOM - AUDIOLOGY
MI4678229Medicaid
MI562321248OtherTRICARE- AUDIOLOGY
MI4658208Medicaid