Provider Demographics
NPI:1215339494
Name:LEE, ANGELA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7951 COLLIN MCKINNEY PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7843
Mailing Address - Country:US
Mailing Address - Phone:469-294-9075
Mailing Address - Fax:
Practice Address - Street 1:7951 COLLIN MCKINNEY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7843
Practice Address - Country:US
Practice Address - Phone:469-294-9075
Practice Address - Fax:469-392-4745
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX38162103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program