Provider Demographics
NPI:1598837510
Name:LEE, KATHY (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:
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:STANFORD UNIVERSITY-CAPS
Mailing Address - Street 2:866 CAMPUS DRIVE
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-8580
Mailing Address - Country:US
Mailing Address - Phone:650-723-3785
Mailing Address - Fax:
Practice Address - Street 1:STANFORD UNIVERSITY-CAPS
Practice Address - Street 2:866 CAMPUS DRIVE
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-8580
Practice Address - Country:US
Practice Address - Phone:650-723-3785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 18989103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical