Provider Demographics
NPI:1295770758
Name:WRIGHT, JENNIFER BUGG (PSYD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BUGG
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 1:12504 E LASALLE PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1924
Mailing Address - Country:US
Mailing Address - Phone:303-257-6880
Mailing Address - Fax:
Practice Address - Street 1:845 QUINCE ORCHARD BLVD STE Q
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1676
Practice Address - Country:US
Practice Address - Phone:303-257-6880
Practice Address - Fax:303-257-6880
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2670103G00000X, 103T00000X, 103TF0200X, 103TH0100X, 103TR0400X
MD5331103T00000X
MD5531103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation