Individual
DR. KATHERINE ELLIS LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PLP
Contact information
Practice address
3401 BERRYWOOD DR, COLUMBIA, MO 65201-8372
(573) 777-8330
(573) 777-8390
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2025032893
MO
Other
Enumeration date
10/23/2024
Last updated
08/06/2025
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