Individual
DR. JAYLENE M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11255
FL
103TE1100X
Exercise & Sports Psychologist
PY11255
FL
103TR0400X
Rehabilitation Psychologist
PY11255
FL
Other
Enumeration date
10/08/2021
Last updated
10/12/2021
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