Most Relevant Information
Provider Data
| NPI Number: | 1003173063 |
| Provider Name: | STEPHANIE BERG WRIGHT MS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6401011218 |
Most Important Dates
| Enumeration Date: | 04/16/2012 |
| Last Updated: | 10/22/2020 |
Provider Practice Location
30503 GREENFIELD RD
SOUTHFIELD
MI
480761594
Practice Location Phone/Fax
| Phone: | 2486914744 |
| Fax: | 2486914745 |
Provider Mailing Location
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD
MI
480333849
Provider Mailing Phone/Fax
| Phone: | 9475221867 |
| Fax: | 9475220301 |