Individual
DAE PETER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
12220 FOOTHILL BLVD, SYLMAR, CA 91342-6001
(818) 934-8841
Mailing address
324 N LINCOLN ST, BURBANK, CA 91506-2112
(714) 552-0371
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23104
CA
2084P0800X
Psychiatry Physician
PSY23104
CA
Other
Enumeration date
12/10/2009
Last updated
09/23/2021
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