Organization
JAMES A. HALEY VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOOHYUN LEE PHD (PSYCHOLOGIST)
(813) 972-2000
Entity
Organization
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 998-8000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2017019227
MO
261QM0850X
Adult Mental Health Clinic/Center
2017019227
MO
261QV0200X
VA Clinic/Center
2017019227
MO
Other
Enumeration date
10/06/2017
Last updated
11/17/2017
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