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Individual

EUN-YEOP LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9500 BORMET DR STE 304, MOKENA, IL 60448-8399
(815) 469-1500
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
12040537
MA
103T00000X
Psychologist
14881
103T00000X
Psychologist
9486
MA
103TC0700X
Clinical Psychologist
Primary
071010147
IL
103TS0200X
School Psychologist
39443
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14881
PSYPACT APIT
Enumeration date
03/26/2012
Last updated
11/17/2025
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