Provider Demographics
NPI:1023659356
Name:LEE, EMILY (MA, NCC, LPC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:760 NEWTOWN YARDLEY RD STE 1222ND
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-4500
Mailing Address - Country:US
Mailing Address - Phone:215-909-0031
Mailing Address - Fax:
Practice Address - Street 1:760 NEWTOWN YARDLEY RD STE 1222ND
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4500
Practice Address - Country:US
Practice Address - Phone:215-375-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014374101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional