Provider Demographics
NPI:1336188432
Name:WRIGHT, SARA E (PHD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11710 OLD BALLAS RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7076
Mailing Address - Country:US
Mailing Address - Phone:314-991-1095
Mailing Address - Fax:314-991-1098
Practice Address - Street 1:11710 OLD BALLAS RD
Practice Address - Street 2:SUITE 111
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7076
Practice Address - Country:US
Practice Address - Phone:314-991-1095
Practice Address - Fax:314-991-1098
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist