Provider Demographics
NPI:1942976436
Name:WRIGHT, CHRISTOPHER HIDEO
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:HIDEO
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 SCHILLING BLVD E STE 112
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-7078
Mailing Address - Country:US
Mailing Address - Phone:901-460-7642
Mailing Address - Fax:
Practice Address - Street 1:1125 SCHILLING BLVD E STE 112
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-7078
Practice Address - Country:US
Practice Address - Phone:901-460-7642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician