Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 30803 | TX |
N | 103TS0200X | School Psychologist | 31020 | TX |
NPI | 1013031939 |
---|---|
Provider Name | Dr. Martha Jean Lee |
First Address | Seabrook, TX 77586-2547 |
Second Address | Dickinson, TX 77539-6858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2007 |
Last Update Date | 08/07/2007 |