Provider Demographics
NPI:1154608230
Name:WRIGHT, GRAHAM MICHAEL (MSW)
Entity type:Individual
Prefix:MR
First Name:GRAHAM
Middle Name:MICHAEL
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 TISCH WAY STE 306
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2530
Mailing Address - Country:US
Mailing Address - Phone:408-350-1315
Mailing Address - Fax:408-554-4209
Practice Address - Street 1:3031 TISCH WAY STE 306
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2530
Practice Address - Country:US
Practice Address - Phone:408-350-1315
Practice Address - Fax:408-554-4209
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker