Individual
MINSUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
87 RTE 17 N, MAYWOOD, NJ 07607
(551) 996-3216
Mailing address
87 RTE 17N, MAYWOOD, NJ 07607
(551) 996-3216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
020795
NY
103T00000X
Psychologist
Primary
35SI00559300
NJ
Other
Enumeration date
08/19/2014
Last updated
03/28/2019
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