Doctor Name: | DR. ROBERT G. LEE |
NPI Number: | 1518181692 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYCHOLOGIST |
License Number: | 7355 |
Business Practice Address: | 40 Highland Ave Newtonville, MA - 024601811 |
Business Phone Number: | 6179653537 |
Business Fax Number: | |
Mailing Address: | 40 Highland Ave, NEWTONVILLE |
State: | MA |
Postal Code: | 024601811 |
Phone Number: | 6179653537 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 06/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 7355 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |