Individual
ERICA ANN LEE
Active
Individual
ERICA ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
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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