Provider Demographics
NPI:1881855351
Name:LEE, JOCELYN ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:ANNE
Last Name:LEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 NW 43RD STREET, SUITE E2
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606
Mailing Address - Country:US
Mailing Address - Phone:352-660-3765
Mailing Address - Fax:352-331-0022
Practice Address - Street 1:3600 NW 43RD STREET, SUITE E2
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606
Practice Address - Country:US
Practice Address - Phone:352-660-3765
Practice Address - Fax:352-331-0022
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8089103T00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist