Provider Demographics
NPI:1871094854
Name:WRIGHT, AVEREY ELIZABETH
Entity type:Individual
Prefix:
First Name:AVEREY
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 1:8910 SOUTHWESTERN BLVD # 3324
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-1504
Mailing Address - Country:US
Mailing Address - Phone:325-207-9227
Mailing Address - Fax:
Practice Address - Street 1:8910 SOUTHWESTERN BLVD # 3324
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-1504
Practice Address - Country:US
Practice Address - Phone:325-207-9227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX401272355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant