Provider Information for 1285253450
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Dr. PAUL STEPHEN WRIGHT LPC, PhD
Sex: Male
NPI: 1285253450
Last Updated: 2020-04-08
Certification Date: 2020-04-08
Certification Date: 2020-04-08
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285253450 | ||||||||
| Enumeration Date | 2020-04-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2400 HEADLAND DR SAINT CHARLES, MO 63301-1417 United States Phone: 636-487-1399 | Fax: | ||||||||
| Primary Practice Address | 621 S 5TH ST SAINT CHARLES, MO 63301-2911 United States Phone: 636-487-1399 | Fax: | ||||||||
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