MEDICARE: STUART WRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	IMF41860	CA

General Provider Information

NPI Number	:	1437165321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART WRIGHT

Provider Business Mailing Address
First Line	:	8421 AUBURN BLVD
Second Line	:	BUILDING 3
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-0359
Country	:	US
Telephone Number	:	916-722-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	8421 AUBURN BLVD
Second Line	:	BUILDING 3
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-0359
Country	:	US
Telephone Number	:	916-722-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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Directions to “ STUART WRIGHT ” Practice Location

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