Doctor Name: | EVELYN R. WRIGHT |
NPI Number: | 1437343332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | LCS20892 |
Business Practice Address: | 734 Silver Spur Rd Suite 105 Rolling Hills Estates, CA - 902743631 |
Business Phone Number: | 3105449977 |
Business Fax Number: | 3105449902 |
Mailing Address: | 734 Silver Spur Rd, Suite 105 ROLLING HILLS ESTATES |
State: | CA |
Postal Code: | 902743631 |
Phone Number: | 3105449977 |
Fax Number: | 3105449902 |
NPI Enumeration Date: | 09/04/2007 |
NPI Last Update Date: | 04/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCS20892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |