Provider Demographics
NPI:1407466022
Name:LEE, YAMIRKA
Entity type:Individual
Prefix:
First Name:YAMIRKA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25325 BOROUGH PARK DR STE 230
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3570
Mailing Address - Country:US
Mailing Address - Phone:832-859-2505
Mailing Address - Fax:
Practice Address - Street 1:25325 BOROUGH PARK DR STE 230
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3570
Practice Address - Country:US
Practice Address - Phone:832-859-2505
Practice Address - Fax:346-477-8051
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist