MEDICARE: NATALIE LEE MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1548760226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE LEE MS, CCC-SLP

Provider Business Mailing Address
First Line	:	2981 ABER ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-2425
Country	:	US
Telephone Number	:	925-766-4731
Fax Number	:

Provider Business Practice Location Address
First Line	:	2981 ABER ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-2425
Country	:	US
Telephone Number	:	925-766-4731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2018
Last Update Date	:	03/12/2026

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