Provider Demographics
NPI:1922271725
Name:WRIGHT, ROBERT G (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:G
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24404 CISCO TRL
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-8007
Mailing Address - Country:US
Mailing Address - Phone:512-585-4469
Mailing Address - Fax:
Practice Address - Street 1:930 S BELL AVE
Practice Address - Street 2:STE 301B
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3975
Practice Address - Country:US
Practice Address - Phone:512-585-4469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-12
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2892101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional