Organization
FANIA LEE PSYD HSPP LLC
Active
Other names
Fania Lee PSYD HSPP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FANIA LEE PSYD HSPP (LICENSED CLINICAL PSYCHOLOGIST)
(812) 455-6597
Entity
Organization
Contact information
Practice address
43 WASHINGTON AVE, EVANSVILLE, IN 47713-1317
(812) 455-6597
Mailing address
43 WASHINGTON AVE, EVANSVILLE, IN 47713-1317
(812) 455-6597
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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