Individual
STACY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
501 S JOHNSTONE AVE, SUITE 503, BARTLESVILLE, OK 74003-6622
(918) 337-6050
(918) 337-6061
Mailing address
501 S JOHNSTONE AVE, SUITE 503, BARTLESVILLE, OK 74003-6622
(918) 337-6050
(918) 337-6061
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
07/24/2012
Last updated
01/15/2013
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