Organization
CONNECTED LIVES PSYCHOLOGICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUELLEN LEE PH.D. (DIRECTOR)
(416) 846-7547
Entity
Organization
Contact information
Practice address
78 OCEAN AVE, SAN FRANCISCO, CA 94112-2549
(415) 846-7547
Mailing address
1628 ALEMANY BLVD, SAN FRANCISCO, CA 94112-2610
(415) 846-7547
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27801
CA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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