Individual
FRED THOMAS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3194 CORE RD, PARKERSBURG, WV 26104-1556
(304) 485-5185
(304) 485-0051
Mailing address
3194 CORE RD, PARKERSBURG, WV 26104-1556
(304) 485-5185
(304) 485-0051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
179
WV
103T00000X
Psychologist
5576
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619972767
—
WV
Enumeration date
06/16/2005
Last updated
12/28/2022
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