Physician Compare National (NPI:1912281254)

HEALTHCARE PROVIDER: LINDA LEE PSY.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1912281254
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668646514
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111110000924
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEE
	Individual professional last name
Provider First Name	LINDA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13220 NW 33RD AVE LOWER LEVEL
	Group Practice or individual's line 1 address
Line 2 Street Address	CREATIVE HOLISTIC COUNSELING
	Group Practice or individual's line 2 address
City	VANCOUVER
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	986852288
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3603346301
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y