Individual
TINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3857 BIRCH ST # 297, NEWPORT BEACH, CA 92660-2616
(949) 520-6880
Mailing address
3857 BIRCH ST # 297, NEWPORT BEACH, CA 92660-2616
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
240136623
CA
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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