Doctor Name: | DR. ERVIN EUGENE WRIGHT |
NPI Number: | 1033109087 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | P0709052 |
Business Practice Address: | 915 E Market Ave American Studies Building Office 123 Searcy, AR - 721495615 |
Business Phone Number: | 5012794856 |
Business Fax Number: | |
Mailing Address: | 836 W South Boundary St, PERRYSBURG |
State: | OH |
Postal Code: | 435515640 |
Phone Number: | 4198743201 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2005 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | P0709052 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |