Individual
DR. SUSAN J. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
259 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8406
(781) 696-9940
(866) 722-5733
Mailing address
354 BEAVER ST, WALTHAM, MA 02452-6232
(781) 696-9940
(866) 722-5733
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6759
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06221
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/16/2006
Last updated
09/15/2008
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