Provider Demographics
NPI:1336738061
Name:LEE, KATHERINE Y (MS, CF-SLP, TSSLD)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:Y
Last Name:LEE
Suffix:
Gender:F
Credentials:MS, CF-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WILSON PL
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-2321
Mailing Address - Country:US
Mailing Address - Phone:201-956-8355
Mailing Address - Fax:
Practice Address - Street 1:252 W 76TH ST STE 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-8227
Practice Address - Country:US
Practice Address - Phone:212-430-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist