Individual
ELIZABETH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5857 ROHN WAY, SAN JOSE, CA 95123-3526
(408) 981-5371
Mailing address
5857 ROHN WAY, SAN JOSE, CA 95123-3526
(408) 981-5371
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP4123
CA
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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