Doctor Name: | ANDREW KEITH WRIGHT |
NPI Number: | 1093034878 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED, LSW |
License Number: | S.0000316 |
Business Practice Address: | 1518 S 3rd St Ironton, OH - 456382140 |
Business Phone Number: | 7405327855 |
Business Fax Number: | 7405320557 |
Mailing Address: | 1518 S 3rd St, IRONTON |
State: | OH |
Postal Code: | 456382140 |
Phone Number: | 7405327855 |
Fax Number: | 7405320557 |
NPI Enumeration Date: | 05/19/2010 |
NPI Last Update Date: | 05/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | S.0000316 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |