| Talisha Lee, Ph.d., Llc | |
|
6010 Executive Blvd Suite 1030 North Bethesda MD 20852-3809 | |
| (240) 428-4413 | |
| (301) 587-6279 |
| Full Name | Talisha Lee, Ph.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 6010 Executive Blvd, North Bethesda, Maryland |
| Authorized Official Name and Position | Talisha Lee (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2404284413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Talisha Lee, Ph.d., Llc 6010 Executive Blvd Suite 1030 North Bethesda MD 20852-3809 Ph: (240) 428-4413 | Talisha Lee, Ph.d., Llc 6010 Executive Blvd Suite 1030 North Bethesda MD 20852-3809 Ph: (240) 428-4413 |
| NPI Number | 1942612635 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942612635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 05014 (Maryland) | Primary |
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