| Doctor Name: | MRS. KATHRYN SUE LEE |
| NPI Number: | 1922122837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 22001877A |
| Business Practice Address: | 292 E Us Highway 20 Michigan City, IN - 463607359 |
| Business Phone Number: | 2198721937 |
| Business Fax Number: | 2198721938 |
| Mailing Address: | 1404 Washington St, MICHIGAN CITY |
| State: | IN |
| Postal Code: | 463604324 |
| Phone Number: | 2198790515 |
| Fax Number: | 2198721938 |
| NPI Enumeration Date: | 03/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 22001877A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |