Organization
DR JOHN Y LEE CLINICAL PSYCHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN Y LEE PHD (CEO)
(818) 631-8349
Entity
Organization
Contact information
Practice address
16161 VENTURA BLVD, 224, ENCINO, CA 91436-2522
(818) 631-8349
Mailing address
8349 AURA AVE, NORTHRIDGE, CA 91324-4202
(818) 631-8349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25158
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
25158
CA
Other
Enumeration date
01/08/2013
Last updated
07/01/2013
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