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Contact Information

ROBERT E LEE, PhD
360 E BELTLINE AVE NE STE 100
GRAND RAPIDS, MI49506-1214
 Phone: 616-805-3660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT E LEE · (Male)

NPI Number 1215143920
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/16/2007
Last updated 12/22/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6301000849
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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