Provider Demographics
NPI:1982845533
Name:LEE, NORMA J (MA, MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:J
Last Name:LEE
Suffix:
Gender:F
Credentials:MA, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 112TH AVE NE
Mailing Address - Street 2:SUITE E-173
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004
Mailing Address - Country:US
Mailing Address - Phone:425-698-5431
Mailing Address - Fax:425-341-9155
Practice Address - Street 1:1750 112TH AVE NE STE E-173
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3752
Practice Address - Country:US
Practice Address - Phone:425-698-5431
Practice Address - Fax:425-341-9155
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00027957106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist