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Contact Information

JACK R LEGGETT JR, PhD
27481 APPARI DR
MISSION VIEJO, CA92692-5188
 Phone: 949-951-1692
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACK R LEGGETT JR · (Male)

NPI # 1386893618
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/10/2008
Last updated 09/10/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY16148
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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