Individual
STEPHANIE BERG WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
30503 GREENFIELD RD, SOUTHFIELD, MI 48076-1594
(248) 691-4744
(248) 691-4745
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1867
(947) 522-0301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401011218
MI
103TC1900X
Counseling Psychologist
Primary
6301014114
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301014114
STATE LICENSE NUMBER
MI
01
—
6401011218
STATE LICENSE
MI
Enumeration date
04/16/2012
Last updated
10/22/2020
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