Provider Demographics
NPI:1396839114
Name:WRIGHT, SYLVIA A (EDS MED LPC ALPS)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:A
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:EDS MED LPC ALPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2025
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-4925
Mailing Address - Country:US
Mailing Address - Phone:304-425-3430
Mailing Address - Fax:304-425-1648
Practice Address - Street 1:1609 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2628
Practice Address - Country:US
Practice Address - Phone:304-425-3430
Practice Address - Fax:304-425-1648
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1270101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health