Provider Demographics
NPI:1316167729
Name:HIPPOLITE WRIGHT, DEBBIE LEE (MSW, PHD)
Entity type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:LEE
Last Name:HIPPOLITE WRIGHT
Suffix:
Gender:F
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4033 MILKY WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1828
Mailing Address - Country:US
Mailing Address - Phone:808-272-0428
Mailing Address - Fax:
Practice Address - Street 1:4033 MILKY WAY
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84124-1828
Practice Address - Country:US
Practice Address - Phone:808-272-0428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTLCSW116193-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical