Individual
DR. MIMI H. WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LP, LSSP
Contact information
Practice address
201 POSEY AVE, CLIFTON, TX 76634-1200
(254) 675-8621
(254) 675-2254
Mailing address
2100 COUNTY ROAD 4145, CRANFILLS GAP, TX 76637-4550
(254) 253-0460
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
25128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030182203
—
TX
Enumeration date
12/27/2010
Last updated
05/31/2022
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