Lee, Jaylene M
Lee, Jaylene M is an individual health care provider with primary practice located at 13000 Bruce B Downs Blvd , Tampa FL 33612-4745. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lee, Jaylene M can be contacted via phone (813) 972-2000.Contact Information
Primary practice address
13000 Bruce B Downs Blvd
Tampa FL 33612-4745
Phone: (813) 972-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Exercise & Sports | 103TE1100X | PY11255 | Florida |
Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PY11255 | Florida |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY11255 | Florida |
Profile Details
NPI number | 1063174894 |
---|---|
LBN Legal business name | Lee, Jaylene M |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 8th, 2021 |
Last updated | Oct 12th, 2021 - about 4 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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