| Doctor Name: | MR. LARRY DEWAYNE WRIGHT |
| NPI Number: | 1750597357 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 2000159346 |
| Business Practice Address: | 209 N Lafayette St Doniphan, MO - 639351631 |
| Business Phone Number: | 5739967054 |
| Business Fax Number: | 5739967052 |
| Mailing Address: | 209 N Lafayette St, DONIPHAN |
| State: | MO |
| Postal Code: | 639351631 |
| Phone Number: | 5739967054 |
| Fax Number: | 5739967052 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2000159346 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |