Individual
DR. CAROLYN LOUISE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., ABPP
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Mailing address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010501
IN
Other
Enumeration date
02/28/2007
Last updated
09/11/2007
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