Individual
MRS. AMY S. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., C.C.C.
Contact information
Practice address
4328 ROCHARD LN, FORT MILL, SC 29707-5851
(530) 518-8248
Mailing address
1980 BIDWELL AVE, CHICO, CA 95926-9645
(530) 879-9507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13697
NC
235Z00000X
Speech-Language Pathologist
Primary
6953
SC
235Z00000X
Speech-Language Pathologist
LL60502109
WA
235Z00000X
Speech-Language Pathologist
SP10057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSP000510
—
CA
Enumeration date
12/19/2006
Last updated
02/01/2020
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