Provider Demographics
NPI:1811312051
Name:WRIGHT, DONNA (SLP)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 RIVER OAK RD
Mailing Address - Street 2:
Mailing Address - City:CHESNEE
Mailing Address - State:SC
Mailing Address - Zip Code:29323-9620
Mailing Address - Country:US
Mailing Address - Phone:864-253-5700
Mailing Address - Fax:864-253-5701
Practice Address - Street 1:1951 RIVER OAK RD
Practice Address - Street 2:
Practice Address - City:CHESNEE
Practice Address - State:SC
Practice Address - Zip Code:29323-9620
Practice Address - Country:US
Practice Address - Phone:864-253-5700
Practice Address - Fax:864-253-5701
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC570787324Medicaid