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Contact Information

SUSAN E LIGHT, PHD
1187 UNIVERSITY DR
MENLO PARK, CA94028
 Phone: 650-321-2414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN E LIGHT · (Female)

NPI Number 1285786202
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/18/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PY10357
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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