Provider Demographics
NPI:1598273013
Name:WRIGHT, CAROLINE N (PSYD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:N
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 ENGLE ST
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-2268
Mailing Address - Country:US
Mailing Address - Phone:201-819-2710
Mailing Address - Fax:
Practice Address - Street 1:220 KINDERKAMACK ROAD
Practice Address - Street 2:D2
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3601
Practice Address - Country:US
Practice Address - Phone:201-781-2430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021954103TC0700X
NJ5780103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical