| Organization Name: | TALISHA LEE, PH.D., LLC |
| NPI Number: | 1942612635 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TALISHA LEE (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 6010 Executive Blvd Suite 1030 North Bethesda |
| State: | MD US |
| Postal Code: | 208523809 |
| Phone Number: | 2404284413 |
| Fax Number: | 3015876279 |
| NPI Enumeration Date: | 05/29/2014 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 05014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |