Provider Demographics
NPI:1104439512
Name:MAGGIE WRIGHT SLP, LLC
Entity type:Organization
Organization Name:MAGGIE WRIGHT SLP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-308-3988
Mailing Address - Street 1:PO BOX 74725
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99707-4725
Mailing Address - Country:US
Mailing Address - Phone:907-308-3988
Mailing Address - Fax:
Practice Address - Street 1:1222 WELL ST UNIT 8/9
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-2881
Practice Address - Country:US
Practice Address - Phone:907-308-3988
Practice Address - Fax:907-308-6924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty