Organization
JASON LEE PHD PSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEE PHD (CLINICAL PSYCHOLOGIST)
(760) 283-0952
Entity
Organization
Contact information
Practice address
1207 CARLSBAD VILLAGE DR STE O, CARLSBAD, CA 92008-1958
(760) 283-0952
Mailing address
1207 CARLSBAD VILLAGE DR STE O, CARLSBAD, CA 92008-1958
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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