Provider Demographics
NPI:1801569165
Name:LEE, RONNIE V JR (PSYD)
Entity type:Individual
Prefix:
First Name:RONNIE
Middle Name:V
Last Name:LEE
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1502 TAUB LOOP RM 2216
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1699
Mailing Address - Country:US
Mailing Address - Phone:713-873-5270
Mailing Address - Fax:832-487-2829
Practice Address - Street 1:2300 RICHMOND AVE APT 243
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3262
Practice Address - Country:US
Practice Address - Phone:254-640-7635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-31
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist