Wright, Theresa Rose
Wright, Theresa Rose is an sole proprietor health care provider with primary practice located at 3747 Church Rd Suite 100, Mount Laurel NJ 08054-1144. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wright, Theresa Rose can be contacted via phone (609) 504-4118.Contact Information
Primary practice address
3747 Church Rd Suite 100
Mount Laurel NJ 08054-1144
Phone: (609) 504-4118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35S100409400 | New Jersey |
Profile Details
| NPI number | 1154481935 |
|---|---|
| LBN Legal business name | Wright, Theresa Rose |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154481935 | NPPES |
| New Jersey | MEDICAID | 0050130 |
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