Individual
YAEEUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 234-4700
Mailing address
217 LA VALLE STRADA, POCATELLO, ID 83201-5877
(860) 733-2525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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