Wright, Stacy L
Wright, Stacy L is an sole proprietor health care provider with primary practice located at 9150 E 109Th Ave Suite 1B, Crown Point IN 46307-7686. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wright, Stacy L can be contacted via phone (219) 406-9423.Contact Information
Primary practice address
9150 E 109Th Ave Suite 1B
Crown Point IN 46307-7686
Phone: (219) 406-9423
Fax: (219) 627-1887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041886A | Indiana |
Profile Details
| NPI number | 1508817917 |
|---|---|
| LBN Legal business name | Wright, Stacy L |
| Credentials | PSY.D., H.S.P.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 19th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508817917 | NPPES |
| Indiana | Other | P00407223 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 200813850A | RAILROAD MEDICARE |
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