Individual
GLORIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
193 JEFFERSON DR, MENLO PARK, CA 94025-1114
(650) 521-5440
Mailing address
193 JEFFERSON DR, MENLO PARK, CA 94025-1114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2007
Last updated
08/18/2021
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