Individual
AMY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
111 SMITH RANCH RD, SAN RAFAEL, CA 94903-1939
(310) 343-3838
Mailing address
388 E OCEAN BLVD UNIT 316, LONG BEACH, CA 90802-5256
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31395
CA
Other
Enumeration date
09/22/2014
Last updated
01/03/2022
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