Provider Demographics
NPI:1114186756
Name:WRIGHT, DIANNE WEAVER (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:WEAVER
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2863
Mailing Address - Country:US
Mailing Address - Phone:919-489-4023
Mailing Address - Fax:919-563-6807
Practice Address - Street 1:3970 MEBANE ROGERS RD
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-9043
Practice Address - Country:US
Practice Address - Phone:919-563-3222
Practice Address - Fax:919-563-6807
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2717170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS