Healthcare Provider Details

I. General information

NPI: 1275682643
Provider Name (Legal Business Name): RALPH LEE MCBEE PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W MAIN ST
THURMONT MD
21788-1834
US

IV. Provider business mailing address

301 W MAIN ST
THURMONT MD
21788-1834
US

V. Phone/Fax

Practice location:
  • Phone: 301-271-0400
  • Fax:
Mailing address:
  • Phone: 301-271-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3956
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: