Individual
DR. CAROLE S LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PND
Contact information
Practice address
318 LAKESIDE RD, SCALY MOUNTAIN, NC 28775-0099
(828) 526-9769
(828) 526-8719
Mailing address
PO BOX 99, 318 LAKESIDE RD, SCALY MOUNTAIN, NC 28775-0099
(828) 526-9769
(828) 526-8719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1604
NC
103TC0700X
Clinical Psychologist
297
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1163W
BCBS NC
NC
Enumeration date
08/30/2006
Last updated
07/08/2007
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