Individual
DOUG E WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
402 SOUTH KANSAS, CHANUTE, KS 66720
(620) 431-7890
(620) 431-7927
Mailing address
304 N JEFFERSON AVE, IOLA, KS 66749-2327
(620) 431-7890
(620) 431-7927
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP714
KS
103TC1900X
Counseling Psychologist
LP714
KS
103TC2200X
Clinical Child & Adolescent Psychologist
LP714
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119690
BLUE SHIELD
KS
Enumeration date
01/17/2007
Last updated
07/12/2018
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