Provider Demographics
NPI:1396581773
Name:WRIGHT, DANIEL
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:DANI
Other - Middle Name:GRACE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LAPC
Mailing Address - Street 1:310 W SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1540
Mailing Address - Country:US
Mailing Address - Phone:412-496-9451
Mailing Address - Fax:
Practice Address - Street 1:2209 ARDMORE BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4851
Practice Address - Country:US
Practice Address - Phone:412-496-9451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000257101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional