Provider Demographics
NPI:1891837001
Name:WRIGHT, ALLEN BYRON (MS IN ED)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:BYRON
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MS IN ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2257 GOLFLINKS RD
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-4853
Mailing Address - Country:US
Mailing Address - Phone:520-458-8188
Mailing Address - Fax:
Practice Address - Street 1:2257 GOLFLINKS RD
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-4853
Practice Address - Country:US
Practice Address - Phone:520-458-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool