Provider Demographics
NPI:1689493280
Name:WRIGHT-CONNELLY, CAITLIN LUCILLE (MED)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:LUCILLE
Last Name:WRIGHT-CONNELLY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2520 PILOT KNOB RD STE 190
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-1152
Mailing Address - Country:US
Mailing Address - Phone:651-452-1500
Mailing Address - Fax:651-452-1502
Practice Address - Street 1:2520 PILOT KNOB RD STE 190
Practice Address - Street 2:
Practice Address - City:MENDOTA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55120-1152
Practice Address - Country:US
Practice Address - Phone:651-452-1500
Practice Address - Fax:651-452-1502
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician