Individual
MS. ELANA REBECCA LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2900 PURCHASE ST, PURCHASE, NY 10577-2131
(857) 928-2795
Mailing address
2900 PURCHASE ST., PURCHASE, NY 10577
(857) 928-2795
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
09/18/2014
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