Lee, Fred Thomas

Lee, Fred Thomas is an sole proprietor health care provider with primary practice located at 3194 Core Rd , Parkersburg WV 26104-1556. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lee, Fred Thomas can be contacted via phone (304) 485-5185.

Contact Information

Primary practice address
3194 Core Rd Parkersburg WV 26104-1556
Phone: (304) 485-5185
Fax: (304) 485-0051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5576 Ohio
Behavioral Health & Social Service Providers / Psychologist 103T00000X 179 West Virginia

Profile Details

NPI number 1619972767
LBN Legal business name Lee, Fred Thomas
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Dec 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619972767 NPPES
West Virginia MEDICAID 1619972767

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