Light, Roger Kenneth

Light, Roger Kenneth is an sole proprietor health care provider with primary practice located at 509 N Sepulveda Blvd Suite 204, Manhattan Beach CA 90266-6746. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Light, Roger Kenneth can be contacted via phone (310) 374-1221.

Contact Information

Primary practice address
509 N Sepulveda Blvd Suite 204 Manhattan Beach CA 90266-6746
Phone: (310) 374-1221
Fax: (310) 214-0648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY9830 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY819 Hawaii

Profile Details

NPI number 1992924047
LBN Legal business name Light, Roger Kenneth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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