Individual
MS. JENNIFER GRACE WALTER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4001 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87110-3816
(505) 272-6203
(505) 299-4740
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY1626
NM
103T00000X
Psychologist
0810008276
VA
103TC0700X
Clinical Psychologist
PSY1626
NM
Other
Enumeration date
07/19/2012
Last updated
09/18/2025
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