Provider Demographics
NPI:1689416851
Name:WRIGHT, ALEXANDER (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BAY VIEW RD N
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-1102
Mailing Address - Country:US
Mailing Address - Phone:201-406-7606
Mailing Address - Fax:
Practice Address - Street 1:14 BAY VIEW RD N
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-1102
Practice Address - Country:US
Practice Address - Phone:201-406-7606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023041103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist