Organization
LEIGHTNUP PSYCHOLOGY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER H LEIGHT PHD (PRESIDENT)
(406) 531-1801
Entity
Organization
Contact information
Practice address
937 HIGHLAND BLVD STE 5320, BOZEMAN, MT 59715-6916
(406) 531-1801
Mailing address
69 SAKO CT, BOZEMAN, MT 59718-8438
(406) 531-1801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
405
MT
Other
Enumeration date
01/05/2014
Last updated
01/11/2022
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