| Doctor Name: | DR. CAROLYN LOUISE LEE |
| NPI Number: | 1003943762 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., ABPP |
| License Number: | 20010501 |
| Business Practice Address: | 600 N Jordan Ave Bloomington, IN - 474053190 |
| Business Phone Number: | 8128555711 |
| Business Fax Number: | |
| Mailing Address: | 600 N Jordan Ave, BLOOMINGTON |
| State: | IN |
| Postal Code: | 474053190 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 09/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20010501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |