Doctor Name: | ELAINE MARIE LEE |
NPI Number: | 1093844524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLPL5411 |
Business Practice Address: | 294 W Carlos Ave Navajo County Special Services Consortium Holbrook, AZ - 860251846 |
Business Phone Number: | 9285242123 |
Business Fax Number: | 9285246367 |
Mailing Address: | Po Box 284, GANADO |
State: | AZ |
Postal Code: | 865050284 |
Phone Number: | 9285242123 |
Fax Number: | 9285246367 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLPL5411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |