| Doctor Name: | DR. TALISHA HELEN LEE |
| NPI Number: | 1376830547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, LCP |
| License Number: | 0810004440 |
| Business Practice Address: | 6010 Executive Blvd Suite 1030 North Bethesda, MD - 208523809 |
| Business Phone Number: | 2404284413 |
| Business Fax Number: | 3015876279 |
| Mailing Address: | 6010 Executive Blvd, Suite 1030 NORTH BETHESDA |
| State: | MD |
| Postal Code: | 208523809 |
| Phone Number: | 2404284413 |
| Fax Number: | 3015876279 |
| NPI Enumeration Date: | 07/07/2011 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 0810004440 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |