Doctor Name: | ALLANA R LEE |
NPI Number: | 1053503904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 048016 |
Business Practice Address: | 7 Vauxhall St New London, CT - 063205711 |
Business Phone Number: | 8604422797 |
Business Fax Number: | |
Mailing Address: | 255 Hempstead St, NEW LONDON |
State: | CT |
Postal Code: | 063206204 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 048016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |