| Doctor Name: | MRS. LEE KELLY BOWDITCH |
| NPI Number: | 1013940279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 0701001247 |
| Business Practice Address: | 12420 Warwick Blvd Bldg. 7 Suite C Newport News, VA - 236063001 |
| Business Phone Number: | 7575953900 |
| Business Fax Number: | 7575950649 |
| Mailing Address: | 101 Parkway Dr, NEWPORT NEWS |
| State: | VA |
| Postal Code: | 236063649 |
| Phone Number: | 7575951970 |
| Fax Number: | 7575950649 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0701001247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |