Provider Demographics
NPI:1588141493
Name:WRIGHT, AUSTIN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4155 STONE RUN DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3328
Mailing Address - Country:US
Mailing Address - Phone:717-586-3299
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:4155 STONE RUN DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3328
Practice Address - Country:US
Practice Address - Phone:717-586-3299
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013765235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist