Provider Demographics
NPI:1437351129
Name:LEE, CAROLINE SOOK (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:SOOK
Last Name:LEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-2148
Mailing Address - Country:US
Mailing Address - Phone:603-643-6781
Mailing Address - Fax:603-643-6782
Practice Address - Street 1:6 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2148
Practice Address - Country:US
Practice Address - Phone:603-643-6781
Practice Address - Fax:603-643-6782
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1084103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist