Individual
YENJU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
G3230 BEECHER RD STE 1, FLINT, MI 48532-3604
(810) 342-5656
Mailing address
G3230 BEECHER RD STE 1, FLINT, MI 48532-3604
(810) 342-5656
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018725
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
11/14/2020
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