Individual
DR. JIYOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6 METROTECH CTR # B020, BROOKLYN, NY 11201-3840
(646) 997-3456
Mailing address
726 BROADWAY STE 471, NEW YORK, NY 10003-9616
(212) 998-4780
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810004843
VA
103TC1900X
Counseling Psychologist
Primary
022119
NY
103TC1900X
Counseling Psychologist
7103
OH
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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