| Dr Mark L Lee, PHD | |
|
24511 W Jayne Ave, Coalinga State Hospital, Coalinga, CA 93210-9503 | |
| (559) 935-4300 | |
| Not Available |
| Full Name | Dr Mark L Lee |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 19 Years |
| Location | 24511 W Jayne Ave, Coalinga, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992007785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS019334 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychological Health Affiliates Llc | 5698781672 | 6 |
| Entity Name | Psychological Health Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740201920 PECOS PAC ID: 5698781672 Enrollment ID: O20060228000656 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark L Lee, PHD 934 E Chocolate Ave, Hershey, PA 17033-1215 Ph: (717) 665-2675 | Dr Mark L Lee, PHD 24511 W Jayne Ave, Coalinga State Hospital, Coalinga, CA 93210-9503 Ph: (559) 935-4300 |
Dr. John Bradley Lumpkin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24863 Jayne Ave., Coalinga, CA 93210 Phone: 559-935-4900 Fax: 559-935-7056 | |
Dr. Denise Louise Ferguson, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 599-934-3403 | |
Dr. Lindsay Marie Cunningham, PSY.D., M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 559-934-8151 | |
Tricia Busby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 559-903-7123 | |
Etta-lea Osterman-perez, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 559-935-4301 Fax: 559-935-7118 | |
Dr. William Fermin Alvarez, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24863 Jayne Avenue, Coalinga, CA 93210 Phone: 559-935-4900 | |
Young Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24863 W Jayne Ave, Coalinga, CA 93210 Phone: 559-935-4900 |