Provider Demographics
NPI:1881338051
Name:WRIGHT, KYINQUA ARIA (SCHOOL PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:KYINQUA
Middle Name:ARIA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9809 HOLDER ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4005
Mailing Address - Country:US
Mailing Address - Phone:562-547-5477
Mailing Address - Fax:
Practice Address - Street 1:9809 HOLDER ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4005
Practice Address - Country:US
Practice Address - Phone:562-547-5477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU7703943502OtherCIGNA