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Individual

ERICA ANN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1708 W ROGERS AVE, DEPARTMENT OF PSYCHOLOGY, BALTIMORE, MD 21209-4545
(410) 578-2603
(410) 367-4197
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-2603
(410) 367-4197

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05456
MD
103TC2200X
Clinical Child & Adolescent Psychologist
05456
MD
103TF0000X
Family Psychologist
05456
MD

Other

Enumeration date
11/16/2012
Last updated
10/06/2014
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