Individual
KENNETH A LEIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2106 NEW ROAD, SUITE F3, LINWOOD, NJ 08221
(609) 926-1165
(609) 926-1228
Mailing address
2106 NEW ROAD, SUITE F3, LINWOOD, NJ 08221
(609) 926-1165
(609) 926-1228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SI00255900
NJ
Other
Enumeration date
07/10/2006
Last updated
11/03/2009
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