Provider Demographics
NPI:1740589415
Name:LEE, MURLYNN
Entity type:Individual
Prefix:
First Name:MURLYNN
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4248 SPENCER ST
Mailing Address - Street 2:240
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5543
Mailing Address - Country:US
Mailing Address - Phone:480-518-6398
Mailing Address - Fax:
Practice Address - Street 1:4248 SPENCER ST
Practice Address - Street 2:240
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5543
Practice Address - Country:US
Practice Address - Phone:480-518-6398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst