Provider Demographics
NPI:1972084614
Name:WRIGHT, MOLLY ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:ELIZABETH
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 BURGESS AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-3063
Mailing Address - Country:US
Mailing Address - Phone:585-610-9363
Mailing Address - Fax:
Practice Address - Street 1:30 EASTBROOK RD STE 303
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2084
Practice Address - Country:US
Practice Address - Phone:508-251-9772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health