| Stacy Wright | |
|
5505 S County Road 475 E Selma IN 47383-9678 | |
| (219) 714-7147 | |
| (219) 627-1887 |
| Full Name | Stacy Wright |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5505 S County Road 475 E, Selma, Indiana |
| Authorized Official Name and Position | Stacy L Wright (PSYCHOLOGIST) |
| Authorized Official Contact | 2197147147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Wright 5505 S County Road 475 E Selma IN 47383-9678 Ph: (219) 714-7147 | Stacy Wright 5505 S County Road 475 E Selma IN 47383-9678 Ph: (219) 714-7147 |
| NPI Number | 1144732264 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144732264 | NPI | - | NPPES |
| 669102 | Other | IN | BEACON HEALTH OPTIONS |
| 000000834190 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
| 200813850A | Medicaid | IN |
Jenkinson Co Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 S Winmere Ave, Selma, IN 47383 Phone: 765-748-8328 |