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Individual

BERN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 761-5213
(225) 761-5654
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1614
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/20/2019
Last updated
11/04/2021
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