Provider Demographics
NPI:1699110056
Name:WRIGHT, GREGORY S (PC-CR)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:S
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PC-CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2808
Mailing Address - Country:US
Mailing Address - Phone:234-801-2469
Mailing Address - Fax:330-364-9212
Practice Address - Street 1:204 2ND ST NE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2808
Practice Address - Country:US
Practice Address - Phone:234-801-2469
Practice Address - Fax:330-364-9212
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1100375101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health