Provider Demographics
NPI:1174886071
Name:WRIGHT, URSULA VERONICA
Entity type:Individual
Prefix:MS
First Name:URSULA
Middle Name:VERONICA
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 1:70 GLENDALE ST
Mailing Address - Street 2:#2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02125-2405
Mailing Address - Country:US
Mailing Address - Phone:617-828-2316
Mailing Address - Fax:617-506-1377
Practice Address - Street 1:70 GLENDALE ST
Practice Address - Street 2:#2
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02125-2405
Practice Address - Country:US
Practice Address - Phone:617-828-2316
Practice Address - Fax:617-506-1377
Is Sole Proprietor?:No
Enumeration Date:2012-06-17
Last Update Date:2012-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional