Provider Demographics
NPI:1831827187
Name:LEE, YE BAN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:YE BAN
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1483 SUTTER ST UNIT 608
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5485
Mailing Address - Country:US
Mailing Address - Phone:818-517-0548
Mailing Address - Fax:
Practice Address - Street 1:1483 SUTTER ST UNIT 608
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5485
Practice Address - Country:US
Practice Address - Phone:818-517-0548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist