Provider Demographics
NPI:1619939378
Name:LEE, WILLIAM GEORGE (PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GEORGE
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 1:5545 REPUBLIC WAY
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9487
Mailing Address - Country:US
Mailing Address - Phone:484-281-3490
Mailing Address - Fax:
Practice Address - Street 1:SOLUTIONS COUNSELING
Practice Address - Street 2:35 EAST ELIZABETH AVE. SUITE 37
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018
Practice Address - Country:US
Practice Address - Phone:610-865-1303
Practice Address - Fax:610-865-9632
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002732L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA404154VLKMedicare PIN