Provider Demographics
NPI:1710041421
Name:LEE, SOO MEI (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:SOO MEI
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:JUVY
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:4141 GEARY BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3118
Mailing Address - Country:US
Mailing Address - Phone:415-833-8222
Mailing Address - Fax:415-833-8444
Practice Address - Street 1:4141 GEARY BLVD FL 1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3118
Practice Address - Country:US
Practice Address - Phone:415-833-8222
Practice Address - Fax:415-833-8444
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2363237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter