1760434096 NPI number — DR. DEBORAH MARIE WRIGHT PH. D.

Table of content: CHRISTY R MCLAUGHLIN A.P.N. (NPI 1578595120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760434096 NPI number — DR. DEBORAH MARIE WRIGHT PH. D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
DEBORAH
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH. D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROTHWEIL
Provider Other First Name:
DEBORAH
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1760434096
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MU ASSESSMENT AND CONSULTATION CLINIC
Provider Second Line Business Mailing Address:
205 LEWIS HALL
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65211-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
573-882-5092
Provider Business Mailing Address Fax Number:
573-884-3399

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MU ASSESSMENT AND CONSULTATION CLINIC
Provider Second Line Business Practice Location Address:
205 LEWIS HALL
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-884-0377
Provider Business Practice Location Address Fax Number:
573-884-3399
Provider Enumeration Date:
05/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PY01743 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10856751 . This is a "CAQH PROVIDER #" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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