Individual
MARGARET DWYER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD LP
Contact information
Practice address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Mailing address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3586
MN
103TC0700X
Clinical Psychologist
LP3586
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013101
PREFERRED ONE
—
01
—
116131
UCARE
—
05
—
561724300
—
MN
01
—
6143788
UBH
—
01
—
6H677DW
BLUE CROSS
—
Enumeration date
12/05/2006
Last updated
10/31/2016
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