Dr Carole S Light, PND is a
Psychologist - Clinical based in Scaly Mountain, North Carolina. Dr Carole S Light is licensed to practice in North Carolina (license number 1604) and her current practice location is
318 Lakeside Rd, Scaly Mountain, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(828) 526-9769.
NPI number for Dr Carole S Light is 1639288517 and her current mailing address is Po Box 99, 318 Lakeside Rd, Scaly Mountain, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639288517.
Healthcare Provider's Profile
| Full Name | Dr Carole S Light |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 318 Lakeside Rd, Scaly Mountain, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639288517
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Carole S Light such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639288517 | NPI | - | NPPES |
| 1163W | Other | NC | BCBS NC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1604 (North Carolina) | Primary |
| 103TC0700X | Psychologist - Clinical | 297 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carole S Light is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Carole S Light, PND
Po Box 99, 318 Lakeside Rd,
Scaly Mountain, NC 28775-0099
Ph: (828) 526-9769 | Dr Carole S Light, PND
318 Lakeside Rd,
Scaly Mountain, NC 28775-0099
Ph: (828) 526-9769 |
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