Susan J. Lee is a Clinical in Waltham, Massachusetts. Susan J. Lee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan J. Lee is 1295709020. The last update date is 2008-09-15.
Susan J. Lee's current location address is 354 Beaver St, Waltham, Massachusetts. You can contact this provider via phone number 7816969940 and fax number 8667225733. The mailing address for Susan J. Lee is 354 Beaver St, Waltham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J. Lee |
|---|---|
| Address | 354 Beaver St, Waltham, Massachusetts |
| Phone Number | 7816969940 |
| Fax Number | 8667225733 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1295709020 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2008-09-15 |
Provider Mailing Address Detail
| Address | 354 Beaver St |
|---|---|
| City | Waltham |
| State | Massachusetts (MA) |
| Post Code | 24526232 |
| Phone Number | 7816969940 |
| Fax Number | 8667225733 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6759 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W06221 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Susan J. Lee's unique identification number?
The Susan J. Lee has been assigned the NPI (National Provider Identifier) Number 1295709020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Susan J. Lee located?
The Susan J. Lee is located at 354 Beaver St, Waltham, MA 24526232.
What is Susan J. Lee's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan J. Lee is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Susan J. Lee receive its 1295709020 assignment from the Centers for Medicare & Medicaid Services?
The Susan J. Lee was assigned its 1295709020 by the Centers for Medicare & Medicaid Services on 2006-02-16.
When was the information pertaining to Susan J. Lee most recently updated or revised?
The details related to Susan J. Lee, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-15.