Provider Demographics
NPI:1982829214
Name:WRIGHT, PRISCILLA WOODBURY (PHD)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:WOODBURY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 FAIRVIEW AVE E
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3053
Mailing Address - Country:US
Mailing Address - Phone:206-718-4153
Mailing Address - Fax:206-323-9083
Practice Address - Street 1:3245 FAIRVIEW AVE E
Practice Address - Street 2:SUITE 302
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3053
Practice Address - Country:US
Practice Address - Phone:206-718-4153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1336103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical