Individual
LISA CAROL YEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
GROUP TAX ID
KY
Enumeration date
12/14/2011
Last updated
12/14/2011
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