| Doctor Name: | DR. TIFFANY C LEE |
| NPI Number: | 1093062648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY-1379 |
| Business Practice Address: | 1001 Kamokila Blvd Suite 262 Kapolei, HI - 967072014 |
| Business Phone Number: | 8084841122 |
| Business Fax Number: | 8084841129 |
| Mailing Address: | 1001 Kamokila Blvd, Suite 262 KAPOLEI |
| State: | HI |
| Postal Code: | 967072014 |
| Phone Number: | 8084841122 |
| Fax Number: | 8084841129 |
| NPI Enumeration Date: | 08/13/2012 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY-1379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |