NPI 1003637851

Katherine Ellis Light, PHDPLP

Practitioner Clinical Psychologist Columbia, MO

Practice location

Address: 3401 Berrywood Dr, Columbia, MO 65201-8372
Phone: (573) 777-8330
Fax: (573) 777-8390
Mailing address: PO Box 844715, Kansas City, MO 64184-4715

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2025032893 (MO)

Other Psychologist providers in Missouri →

Registry record

NPI: 1003637851
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2024
Record last updated: 6 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.