| Doctor Name: | DR. MARTHA JEAN LEE |
| NPI Number: | 1013031939 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., NCSP, LSSP |
| License Number: | 30803 |
| Business Practice Address: | 4512 Highway 3 Dickinson, TX - 775396858 |
| Business Phone Number: | 2812296000 |
| Business Fax Number: | |
| Mailing Address: | 4422 Plover Dr, SEABROOK |
| State: | TX |
| Postal Code: | 775862547 |
| Phone Number: | 7138261412 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 30803 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |