Individual
STEPHEN LANCE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY0004349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73636
BCBS
FL
Enumeration date
08/11/2006
Last updated
08/15/2008
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