Leggett, Jack Robert

Leggett, Jack Robert is an sole proprietor health care provider with primary practice located at 27481 Appari Dr , Mission Viejo CA 92692-5188. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Leggett, Jack Robert can be contacted via phone (949) 951-1692.

Contact Information

Primary practice address
27481 Appari Dr Mission Viejo CA 92692-5188
Phone: (949) 951-1692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16148 California
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1386893618
LBN Legal business name Leggett, Jack Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2008
Last updated Sep 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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