Individual
DR. FANIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD HSPP
Contact information
Practice address
43 WASHINGTON AVE, EVANSVILLE, IN 47713-1317
(812) 455-6597
(812) 909-3245
Mailing address
43 WASHINGTON AVE, EVANSVILLE, IN 47713-1317
(812) 455-6597
(812) 909-3245
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042013A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992742068
NPI
IN
Enumeration date
05/31/2006
Last updated
04/30/2018
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