Anna W Wright, PSYD
Individual provider Active NPI Clinical Psychologist · Laurel Fork, VA
NPI 1013573005 · NPPES record last updated Feb 5, 2021
Key facts
- NPI
- 1013573005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810006170 (VA)
- Practice address
- 14558 Danville Pike
Laurel Fork, VA 24352-3982 - Phone
- (276) 398-2292
- Fax
- (276) 398-3331
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810006170 | VA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810006170 | VA | Yes |
Addresses
Primary practice location
14558 Danville Pike
Laurel Fork, VA 24352-3982
Mailing address
PO Box 9
Laurel Fork, VA 24352-0009
Phone (276) 398-2292
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wedonotuse |
Other providers in Laurel Fork, VA
- Tri Area Community Health
- Tri Area Community Health
- Tri Area Community Health
- Tri Area Community Health
- Jacqueline L Webb
All providers in Laurel Fork, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.