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Contact Information

AMY LEE, PSY.D.
111 SMITH RANCH RD
SAN RAFAEL, CA94903-1939
 Phone: 310-343-3838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AMY LEE · (Female)

NPI Number 1669874657
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 09/22/2014
Last updated 01/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY31395
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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