Provider Demographics
NPI:1700890589
Name:DIGHT, JANET L (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:L
Last Name:DIGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15550 ALDRICH LN
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:KS
Mailing Address - Zip Code:66073-4020
Mailing Address - Country:US
Mailing Address - Phone:785-865-7512
Mailing Address - Fax:785-597-5044
Practice Address - Street 1:403 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:VALLEY FALLS
Practice Address - State:KS
Practice Address - Zip Code:66088-1318
Practice Address - Country:US
Practice Address - Phone:785-945-3263
Practice Address - Fax:785-597-5044
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001024790103T00000X
KS1141103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO495720807Medicaid
KS200408060AMedicaid
KS121006Medicare PIN