Individual
MR. LEE M. VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
22670 SUMMIT DRIVE, SUITE 2, WATERTOWN, NY 13601
(315) 788-3332
(315) 788-4584
Mailing address
22670 SUMMIT DRIVE, SUITE 2, WATERTOWN, NY 13601
(315) 788-3332
(315) 788-4584
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P94668
NY
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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