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Fred Thomas Lee, PhD

Psychologist in Parkersburg, WV. Individual provider (NPI-1).

NPI number1619972767
StatusActive
Last updated in NPPESDec 28, 2022

Details

NPI
1619972767
Entity type
Individual (NPI-1)
Name
Fred Thomas Lee
Credential
PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 16, 2005
Certification date
Dec 28, 2022
Last updated
Dec 28, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist179WVYes
103T00000X Psychologist5576OH

Practice location

3194 Core Rd
Parkersburg, WV 26104-1556

Phone 304-485-5185 · Fax 304-485-0051

Mailing address

3194 Core Rd
Parkersburg, WV 26104-1556

Phone 304-485-5185 · Fax 304-485-0051

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychologist providers in Parkersburg, WV

All 19 Psychologist providers in Parkersburg · All 3,407 providers in Parkersburg

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