NPI Code Details Logo

NPI 1487704904

NPI 1487704904 : VICTORIA KATARINA LEE PH.D. : SEATTLE, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487704904
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    VICTORIA KATARINA LEE PH.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/10/2007
-----------------------------------------------------
    Last Update Date     |    02/14/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    509 OLIVE WAY SUITE 1532
-----------------------------------------------------
    City                 |    SEATTLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98101-1749
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    425-985-9363
-----------------------------------------------------
    Fax                  |    425-642-3437
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    509 OLIVE WAY SUITE 1532
-----------------------------------------------------
    City                 |    SEATTLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98101-1749
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    425-985-9363
-----------------------------------------------------
    Fax                  |    425-642-3437
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    PY1683
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.