Provider Demographics
NPI:1518119122
Name:HASL-WRIGHT, KYLER (BT)
Entity Type:Individual
Prefix:MRS
First Name:KYLER
Middle Name:
Last Name:HASL-WRIGHT
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5389 ARSENAL ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-1401
Mailing Address - Country:US
Mailing Address - Phone:314-772-6933
Mailing Address - Fax:314-772-5858
Practice Address - Street 1:5389 ARSENAL ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-1401
Practice Address - Country:US
Practice Address - Phone:314-772-6933
Practice Address - Fax:314-772-5858
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst