Provider Demographics
NPI:1083240709
Name:OH, SEUNG HEE (MA)
Entity Type:Individual
Prefix:MS
First Name:SEUNG HEE
Middle Name:
Last Name:OH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:SEUNG HEE
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:7 STEDMAN RD APT 301
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7133
Mailing Address - Country:US
Mailing Address - Phone:818-437-4632
Mailing Address - Fax:
Practice Address - Street 1:7 STEDMAN RD APT 301
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7133
Practice Address - Country:US
Practice Address - Phone:818-437-4632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health