National Provider Identifier Database

JACK R LEGGETT JR, PhD – NPI #1386893618
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JACK R LEGGETT JR, PhD
27481 APPARI DR
MISSION VIEJO, CA92692-5188
Phone: 949-951-1692
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Addiction (Substance Use Disorder) 103TA0400X
Adult Development & Aging 103TA0700X
Clinical Neuropsychologist 103G00000X
Health Service 103TH0100X

* Indicates primary specialty

NPI Profile & details for JACK R LEGGETT JR

NPI Number 1386893618
Credentials PhD
Entity Individual
Enumeration date 09/10/2008
Last updated 09/10/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: PSY16148
Hospital affiliation n/a

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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