Lee, Walter

Lee, Walter is an individual health care provider with primary practice located at 311 N Marathon Way , Stafford TX 77477-5819. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lee, Walter can be contacted via phone (281) 772-8407.

Contact Information

Primary practice address
311 N Marathon Way Stafford TX 77477-5819
Phone: (281) 772-8407
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X S25118 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X S25118 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X S25118 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X S25118 Texas

Profile Details

NPI number 1114130119
LBN Legal business name Lee, Walter
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Sep 16th, 2009 - about 16 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 1114130119 NPPES
Texas MEDICAID 061168302
Texas Other 01163676
Texas MEDICAID 061168301

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