Doctor Name: | SARA ELIZABETH BRAY WRIGHT |
NPI Number: | 1306901830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD, ABPP |
License Number: | |
Business Practice Address: | 655 7th St Bldg 700700-a 78 Mdg Warner Robins, GA - 310982227 |
Business Phone Number: | 9712264244 |
Business Fax Number: | |
Mailing Address: | 1368 Lilly Creek Rd, FORT VALLEY |
State: | GA |
Postal Code: | 310305273 |
Phone Number: | 9712264244 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |