Provider Demographics
NPI:1528243904
Name:WRIGHT, PAUL H (LPSYCH NH#666)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:H
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LPSYCH NH#666
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BIRCH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-2136
Mailing Address - Country:US
Mailing Address - Phone:603-434-5672
Mailing Address - Fax:
Practice Address - Street 1:4 BIRCH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-2136
Practice Address - Country:US
Practice Address - Phone:603-434-5672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH666103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist