Carolyn Louise Lee in Bloomington - Clinical
Carolyn Louise Lee - NPI 1003943762
Carolyn Louise Lee is a Clinical in Bloomington, Indiana. Carolyn Louise Lee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carolyn Louise Lee is 1003943762. The last update date is 2007-09-11.
Carolyn Louise Lee's current location address is 600 N Jordan Ave, Bloomington, Indiana. You can contact this provider via phone number 8128555711. The mailing address for Carolyn Louise Lee is 600 N Jordan Ave, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Louise Lee |
|---|---|
| Address | 600 N Jordan Ave, Bloomington, Indiana |
| Phone Number | 8128555711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D., ABP |
NPI Number Detail
| NPI Number | 1003943762 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 600 N Jordan Ave |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474053190 |
| Phone Number | 8128555711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20010501 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identification code assigned to Carolyn Louise Lee by the Centers for Medicare & Medicaid Services?
The Carolyn Louise Lee has been issued the NPI (National Provider Identifier) 1003943762. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Carolyn Louise Lee's facilities are situated?
The facilities of Carolyn Louise Lee are physically located at the following address: 600 N Jordan Ave, Bloomington, IN, 474053190.
What is the Carolyn Louise Lee's specialty and taxonomy code?
The Carolyn Louise Lee's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003943762 to Carolyn Louise Lee?
The Centers for Medicare & Medicaid Services assigned the 1003943762 to Carolyn Louise Lee on 2007-02-28.
As of what date were the details related to Carolyn Louise Lee most recently updated or revised?
The information pertaining to Carolyn Louise Lee, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-11.
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