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Individual

DR. KYUNGSIG SAMUEL LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1325 N COLLEGE AVE, CLAREMONT, CA 91711-3154
(626) 616-2478
Mailing address
1325 N COLLEGE AVE, CLAREMONT, CA 91711-3154
(626) 616-2478

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
22920
CA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
103TC1900X
Counseling Psychologist
103TF0000X
Family Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
03/04/2021
Last updated
03/04/2021
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