Dr. Carolyn Louise Lee
Clinical Psychologist
600 N Jordan Ave
Bloomington
, Indiana 47405-3190
Dr. Carolyn Louise Lee
Clinical Psychologist
600 N Jordan Ave
Bloomington
, Indiana 47405-3190
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Carolyn Louise Lee
- 600 N Jordan Ave
- Bloomington, IN
- Zip : 47405-3190
- Phone :
Second Address
- Dr. Carolyn Louise Lee
- 600 N Jordan Ave
- Bloomington, IN
- Zip : 47405-3190
- Phone : (812) 855-5711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 20010501 | IN |
| Y | 103TC0700X | Clinical Psychologist | 20010501 | IN |
National Provider Identifier
| NPI | 1003943762 |
|---|---|
| Provider Name | Dr. Carolyn Louise Lee |
| First Address | Bloomington, IN 47405-3190 |
| Second Address | Bloomington, IN 47405-3190 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2007 |
| Last Update Date | 11/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.