Provider Demographics
NPI:1801930946
Name:WRIGHT, CYNTHIA LEE (LPCMH)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LEE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:LEE
Other - Last Name:MOULTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCC
Mailing Address - Street 1:4311 VERONA DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5619
Mailing Address - Country:US
Mailing Address - Phone:302-999-8646
Mailing Address - Fax:
Practice Address - Street 1:262 CHAPMAN RD
Practice Address - Street 2:BELLEVUE BUILDING SUITE 100
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5448
Practice Address - Country:US
Practice Address - Phone:302-292-0888
Practice Address - Fax:302-292-0889
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE234581OtherCOMPSYCH
DE7035494OtherAETNA
DE205933LPCOtherBLUECROSSBLUESHIELD