Provider Demographics
NPI:1942311220
Name:WRIGHT, THOMAS SHERIDAN (PHD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:SHERIDAN
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 SAY RD
Mailing Address - Street 2:
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060-1421
Mailing Address - Country:US
Mailing Address - Phone:805-525-7858
Mailing Address - Fax:
Practice Address - Street 1:333 N LANTANA ST STE 273
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-9033
Practice Address - Country:US
Practice Address - Phone:805-388-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT13673106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist