Individual
DR. STACY L WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., H.S.P.P.
Contact information
Practice address
5505 S COUNTY ROAD 475 E, SELMA, IN 47383-9678
(219) 714-7147
(219) 627-1887
Mailing address
5505 S COUNTY ROAD 475 E, SELMA, IN 47383-9678
(219) 406-9423
(219) 627-1887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041886A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200813850A
—
IN
01
—
P00407223
RAILROAD MEDICARE
IN
Enumeration date
05/12/2006
Last updated
06/27/2025
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