Individual
LEE NEULICHT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
SSP
Contact information
Practice address
414 EUBANKS RD, MONROE, NC 28112-8290
(704) 764-7573
Mailing address
414 EUBANKS RD, MONROE, NC 28112-8290
(704) 764-7573
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LPES 3090
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WP9909
—
SC
Enumeration date
06/09/2006
Last updated
07/09/2007
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