Lee Neulicht SSP

NPI 1033150255 - Psychologist - 103TS0200X

NPI Details
NPI 1033150255
Gender Male
Enumeration Date 06/09/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
414 EUBANKS RD
MONROE NC, 28112-8290, US
Phone (704) 764-7573
Fax
Business Location
414 EUBANKS RD
MONROE NC, 28112-8290, US
Phone (704) 764-7573
Fax
Toxanomy
Taxonomy Code 103TS0200X
License State South Carolina
License Number LPES 3090
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According to our database, Lee Neulicht SSP NPI is 1033150255, taxonomy code is 103TS0200X and license number is LPES 3090, license state is located at South Carolina. Lee Neulicht SSP physically located at 414 Eubanks Rd, Monroe NC, 28112-8290. NPI Number Lee Neulicht SSP has the Individual type.

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1033150255 NPI number is provided on an as is basis without warranty of any kind. 1033150255 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Neulicht SSP are for informational purposes only.