Provider Demographics
NPI:1639665292
Name:LEE, DEBORAH LIN-TSAI (MA, MSW, LSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LIN-TSAI
Last Name:LEE
Suffix:
Gender:F
Credentials:MA, MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 E CHURCHVILLE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3485
Mailing Address - Country:US
Mailing Address - Phone:401-893-4600
Mailing Address - Fax:401-640-4358
Practice Address - Street 1:290 BETHEL RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:PA
Practice Address - Zip Code:19363-1164
Practice Address - Country:US
Practice Address - Phone:484-368-7268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW123255104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker