Individual
DR. A. MICHELE LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
630 ADERHOLD HALL, UNIVERSITY OF GEORGIA, ATHENS, GA 30602
(706) 542-4110
(706) 542-4240
Mailing address
630 ADERHOLD HALL, UNIVERSITY OF GEORGIA, ATHENS, GA 30602
(706) 542-4110
(706) 542-4240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002594
GA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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