Provider Demographics
NPI:1275365843
Name:RUTH A WRIGHT
Entity type:Organization
Organization Name:RUTH A WRIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, LPC
Authorized Official - Phone:609-351-8827
Mailing Address - Street 1:14 MEETINGHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:SHAMONG
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-9421
Mailing Address - Country:US
Mailing Address - Phone:609-351-8827
Mailing Address - Fax:
Practice Address - Street 1:770 MARNE HWY STE 2C
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3081
Practice Address - Country:US
Practice Address - Phone:609-351-8827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health