Provider Demographics
NPI:1073582953
Name:SHONFIELD, LEE JULES (MD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:JULES
Last Name:SHONFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4422 CARVER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5536
Mailing Address - Country:US
Mailing Address - Phone:513-984-2800
Mailing Address - Fax:513-984-2844
Practice Address - Street 1:4422 CARVER WOODS DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5536
Practice Address - Country:US
Practice Address - Phone:513-984-2800
Practice Address - Fax:513-984-2844
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-3319 S103T00000X
GA12001103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist