Provider Demographics
NPI:1134430440
Name:WRIGHT, JOANNE (MS)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:SANTORO WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M S
Mailing Address - Street 1:106 HARBORVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-8506
Mailing Address - Country:US
Mailing Address - Phone:516-795-3817
Mailing Address - Fax:516-795-3787
Practice Address - Street 1:106 HARBORVIEW DR
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-8506
Practice Address - Country:US
Practice Address - Phone:516-795-3817
Practice Address - Fax:516-795-3787
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002139-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist