| Doctor Name: | STEPHANIE BERG WRIGHT |
| NPI Number: | 1003173063 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6401011218 |
| Business Practice Address: | 28000 Dequindre Rd Warren, MI - 480922468 |
| Business Phone Number: | 5867531028 |
| Business Fax Number: | |
| Mailing Address: | 28000 Dequindre Rd, WARREN |
| State: | MI |
| Postal Code: | 480922468 |
| Phone Number: | 5867531028 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2012 |
| NPI Last Update Date: | 04/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401011218 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |