| Eliza Lee Phd Llc | |
|
47 Winslow Homer Rd Scarborough ME 04074-9480 | |
| (215) 806-7563 | |
| Not Available |
| Full Name | Eliza Lee Phd Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 47 Winslow Homer Rd, Scarborough, Maine |
| Authorized Official Name and Position | Eliza Carlson Lee (PSYCHOLOGIST) |
| Authorized Official Contact | 2158067563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eliza Lee Phd Llc 47 Winslow Homer Rd Scarborough ME 04074-9480 Ph: (215) 806-7563 | Eliza Lee Phd Llc 47 Winslow Homer Rd Scarborough ME 04074-9480 Ph: (215) 806-7563 |
| NPI Number | 1982299939 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
| Certification Date | 03/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982299939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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