Dae Peter Lee, PsyD
Psychologist, Clinical in Sylmar, CA. Individual provider (NPI-1).
NPI number1851620439
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1851620439
- Entity type
- Individual (NPI-1)
- Name
- Dae Peter Lee
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2009
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY23104 | CA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | psy23104 | CA |
Practice location
12220 Foothill BlvdSylmar, CA 91342-6001
Phone 818-934-8841
Mailing address
324 N Lincoln StBurbank, CA 91506-2112
Phone 714-552-0371
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