Light Psychiatric Services, Psc
NPI #1578628392 in Louisville, Kentucky
Provider Information
- NPI Number
- 1578628392
- Entity Type
- Organization
- Organization Name
- Light Psychiatric Services, Psc
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13113 EASTPOINT PARK BLVD
- Address 2
- SUITE D
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40223-4191
- Phone
- (502) 244-5437
Authorized Official
- Name
- DR. MICHAEL JOHN LIGHT, MD
- Title
- CEO
- Phone
- (502) 244-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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