Provider Demographics
NPI:1982023263
Name:WRIGHT, TODD (NBC-HIS)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:C
Other - Middle Name:TODD
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NBC-HIS
Mailing Address - Street 1:110 RILEY ST
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5432
Mailing Address - Country:US
Mailing Address - Phone:256-547-2373
Mailing Address - Fax:256-547-5353
Practice Address - Street 1:110 RILEY ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5432
Practice Address - Country:US
Practice Address - Phone:256-547-2373
Practice Address - Fax:256-547-5353
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4016237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist