Individual
SHAREE NICOLE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1629
LA
103TC0700X
Clinical Psychologist
Primary
1629
LA
Other
Enumeration date
11/07/2017
Last updated
04/26/2022
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