Provider Demographics
NPI:1225052038
Name:LEE, SEE WOO (PHD)
Entity Type:Individual
Prefix:DR
First Name:SEE
Middle Name:WOO
Last Name:LEE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6273
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92607-6273
Mailing Address - Country:US
Mailing Address - Phone:949-637-8640
Mailing Address - Fax:
Practice Address - Street 1:805 W LA VETA AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3901
Practice Address - Country:US
Practice Address - Phone:714-771-7722
Practice Address - Fax:714-771-1828
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY6458103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist