DR. MIMI H. WRIGHT PH.D. LP LSSP NPI 1114221611

NPI Information

  • NPI: 1114221611
  • Provider Name: DR. MIMI H. WRIGHT, PH.D., LP, LSSP
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 201 POSEY AVE
    CLIFTON, TX
    ZIP 76634
  • Phone: (254) 675-8621

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NPI Details

DR. Mimi H. Wright, PH.D., LP, LSSP is a health service psychologist in Clifton, TX with 32 years of experience. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Mimi H. Wright, PH.D., LP, LSSP NPI is 1114221611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 POSEY AVE
CLIFTON, TX
ZIP 76634-200
Phone: (254) 675-8621
Fax: (254) 675-2254

The NPI 1114221611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/27/2010 and was last updated on 5/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth Service25128TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1030182203MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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