Provider Demographics
NPI:1124346663
Name:WRIGHT, ABBY LYNNE (AUD)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:LYNNE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 WESTGATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62711-7066
Mailing Address - Country:US
Mailing Address - Phone:217-726-6101
Mailing Address - Fax:217-726-6103
Practice Address - Street 1:4000 WESTGATE DRIVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62711-7066
Practice Address - Country:US
Practice Address - Phone:217-726-6101
Practice Address - Fax:217-726-6103
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001254231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist