Organization
LEE PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE PSYD (CEO)
(215) 991-9066
Entity
Organization
Contact information
Practice address
6327 BURBRIDGE ST, PHILADELPHIA, PA 19144-2505
(215) 991-9066
(215) 991-9062
Mailing address
6327 BURBRIDGE ST, PHILADELPHIA, PA 19144-2505
(215) 991-9066
(215) 991-9062
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016044
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS016044
PA
103TC0700X
Clinical Psychologist
PS016044
PA
103TC1900X
Counseling Psychologist
PS016044
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS016044
PA
103TF0000X
Family Psychologist
PS016044
PA
103TH0004X
Health Psychologist
PS016044
PA
103TP2701X
Group Psychotherapy Psychologist
PS016044
PA
103TS0200X
School Psychologist
PS016044
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022425400001
—
PA
Enumeration date
12/14/2015
Last updated
12/14/2015
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