Mr Jeffrey Allen Lee, PHD is a
Psychologist - Clinical based in Vernal, Utah. Mr Jeffrey Allen Lee is licensed to practice in Oregon (license number 2242) and his current practice location is
38 E 100 N Ste B, Vernal, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 781-8000.
NPI number for Mr Jeffrey Allen Lee is 1346406691 and his current mailing address is 814 Ne 87th Ave., Vancouver, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346406691.
Healthcare Provider's Profile
| Full Name | Mr Jeffrey Allen Lee |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 38 E 100 N Ste B, Vernal, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346406691
- Provider Enumeration Date: 08/05/2008
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Mr Jeffrey Allen Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346406691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PY60229346 (Washington) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 171M00000X (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2242 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeffrey Allen Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jeffrey Allen Lee, PHD
814 Ne 87th Ave.,
Vancouver, WA 98604
Ph: (360) 910-1522 | Mr Jeffrey Allen Lee, PHD
38 E 100 N Ste B,
Vernal, UT 84078-2122
Ph: (435) 781-8000 |
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