Healthcare Provider Details

I. General information

NPI: 1700044880
Provider Name (Legal Business Name): ALAN J. LEE & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3379 QUAKERBRIDGE RD SUITE 101
HAMILTON NJ
08619-1269
US

IV. Provider business mailing address

3379 QUAKERBRIDGE RD SUITE 101
HAMILTON NJ
08619-1269
US

V. Phone/Fax

Practice location:
  • Phone: 609-228-3078
  • Fax: 609-228-3083
Mailing address:
  • Phone: 609-228-3078
  • Fax: 609-228-3083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberSI3652
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC49358
License Number StateNJ

VIII. Authorized Official

Name: DR. ALAN J. LEE
Title or Position: PRESIDENT/PSYCHOLOGIST
Credential: PSY.D.
Phone: 609-228-3078