Light, Susan Eileen

Light, Susan Eileen is an individual health care provider with primary practice located at 1187 University Dr , Menlo Park CA 94028. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Light, Susan Eileen can be contacted via phone (650) 321-2414.

Contact Information

Primary practice address
1187 University Dr Menlo Park CA 94028
Phone: (650) 321-2414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10357 California

Profile Details

NPI number 1285786202
LBN Legal business name Light, Susan Eileen
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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