Provider Demographics
NPI:1447775200
Name:WRIGHT, HEIDI ROCHELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:ROCHELLE
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 1:855 ROUTE 146 STE 105
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3865
Mailing Address - Country:US
Mailing Address - Phone:518-223-8099
Mailing Address - Fax:518-243-8079
Practice Address - Street 1:855 ROUTE 146 STE 105
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3865
Practice Address - Country:US
Practice Address - Phone:518-223-8099
Practice Address - Fax:518-243-8079
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-13
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022272103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical