Individual
DR. JONATHAN K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1454 S COUNTY TRL, SUITE 2200, EAST GREENWICH, RI 02818-1627
(401) 606-4415
(401) 606-1146
Mailing address
117 ELLENFIELD ST, SUITE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PS01485
RI
Other
Enumeration date
08/12/2011
Last updated
11/12/2014
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