Provider Demographics
NPI:1952584617
Name:WRIGHT, WENDY ANN (PLCSW)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 330344
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77233-0344
Mailing Address - Country:US
Mailing Address - Phone:713-733-6900
Mailing Address - Fax:713-733-3695
Practice Address - Street 1:11626 CULLEN BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-1806
Practice Address - Country:US
Practice Address - Phone:713-733-6900
Practice Address - Fax:713-733-3695
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007030432104100000X
TX536191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker