Provider Demographics
NPI:1841680154
Name:WRIGHT DESAI, KATHERINE R (PHD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:R
Last Name:WRIGHT DESAI
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 1:800 S FREDERICK AVE
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-4150
Mailing Address - Country:US
Mailing Address - Phone:301-664-6464
Mailing Address - Fax:301-963-0072
Practice Address - Street 1:800 S FREDERICK AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4150
Practice Address - Country:US
Practice Address - Phone:301-664-6464
Practice Address - Fax:301-963-0072
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03480103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical