Roger Kenneth Light in Manhattan Beach - Clinical Neuropsychologist
Roger Kenneth Light - NPI 1992924047
Roger Kenneth Light is a Clinical Neuropsychologist in Manhattan Beach, California. Roger Kenneth Light practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Roger Kenneth Light is 1992924047. The last update date is 2007-07-08.
Roger Kenneth Light's current location address is 509 N Sepulveda Blvd, Manhattan Beach, California. You can contact this provider via phone number 3103741221 and fax number 3102140648. The mailing address for Roger Kenneth Light is 509 N Sepulveda Blvd, Manhattan Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Kenneth Light |
|---|---|
| Address | 509 N Sepulveda Blvd, Manhattan Beach, California |
| Phone Number | 3103741221 |
| Fax Number | 3102140648 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1992924047 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 509 N Sepulveda Blvd |
|---|---|
| City | Manhattan Beach |
| State | California (CA) |
| Post Code | 902666746 |
| Phone Number | 3103741221 |
| Fax Number | 3102140648 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY9830 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique identifier code issued to Roger Kenneth Light by the Centers for Medicare & Medicaid Services (CMS)?
The Roger Kenneth Light has been assigned the NPI (National Provider Identifier) 1992924047. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Roger Kenneth Light located?
The Roger Kenneth Light is located at 509 N Sepulveda Blvd, Manhattan Beach, CA 902666746.
What is Roger Kenneth Light's area of expertise and its corresponding taxonomy classification?
The Roger Kenneth Light's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.
When did the Roger Kenneth Light receive its 1992924047?
The Roger Kenneth Light was issued its 1992924047 on 2007-04-25, which is the date when the organization was assigned this unique identifier.
When was the Roger Kenneth Light's information last updated?
The Roger Kenneth Light's information was last updated on 2007-07-08.
NPI Number: 1316940851
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