Individual
MICHAEL DAVID LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3625 MENCHACA RD STE 102, AUSTIN, TX 78704-5912
(512) 942-7836
Mailing address
3625 MENCHACA RD STE 102, AUSTIN, TX 78704-5912
(512) 942-7836
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38879
TX
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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