MEDICARE: JANET DIGHT, PH.D., LLC

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	103TC0700X	Clinical Psychologist	LP1141	KS

General Provider Information

NPI Number	:	1962710335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANET DIGHT, PH.D., LLC

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	:	785-865-7512
Fax Number	:	785-597-5044

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. JANET DIGHT
Credential	:	PH.D.
Telephone Number	:	785-865-7512

Provider Enumeration Date	:	09/20/2010
Last Update Date	:	09/20/2010

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