Organization
KENNETH A. LEIGHT PHD NEW ROADS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEIGHT PHD (PSYCHOLOGIST)
(609) 926-1165
Entity
Organization
Contact information
Practice address
2106 NEW RD, SUITE F3, LINWOOD, NJ 08221-1046
(609) 926-1165
(609) 926-1228
Mailing address
2106 NEW RD, SUITE F3, LINWOOD, NJ 08221-1046
(609) 926-1165
(609) 926-1228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00255900
NJ
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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