MEDICARE: DR. JANET L DIGHT PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	2001024790	MO
2	103TC0700X	Clinical Psychologist	1141	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700890589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET L DIGHT PHD

Provider Business Mailing Address
First Line	:	15550 ALDRICH LN
Second Line	:
City	:	PERRY
State	:	KS
Zip	:	66073-4020
Country	:	US
Telephone Number	:	785-865-7512
Fax Number	:	785-597-5044

Provider Business Practice Location Address
First Line	:	403 SYCAMORE ST
Second Line	:
City	:	VALLEY FALLS
State	:	KS
Zip	:	66088-1318
Country	:	US
Telephone Number	:	785-945-3263
Fax Number	:	785-597-5044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	05/05/2010

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