Individual
KELLIE ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3424 KOSSUTH AVE STE 4B, BRONX, NY 10467-2410
(718) 519-3440
Mailing address
3424 KOSSUTH AVE STE 4B, BRONX, NY 10467-2410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
05/19/2023
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