Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 1134 | AZ |
NPI | 1215142740 |
---|---|
Provider Name | Dr. Young B. Lee |
First Address | Tempe, AZ 85283-2022 |
Second Address | Tempe, AZ 85283-2022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |