Provider Demographics
NPI:1255643045
Name:WRIGHT, EMILY RAEBECK (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:RAEBECK
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:CLAY
Other - Last Name:RAEBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:395 S END AVE APT 19E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1051
Mailing Address - Country:US
Mailing Address - Phone:631-680-8160
Mailing Address - Fax:
Practice Address - Street 1:395 S END AVE APT 19E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10280-1051
Practice Address - Country:US
Practice Address - Phone:631-680-8160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-08
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020125235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist