Provider Demographics
NPI:1528473642
Name:LEE, BRITTANY VANESSA
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:VANESSA
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 1:3801 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-3247
Mailing Address - Country:US
Mailing Address - Phone:951-955-7108
Mailing Address - Fax:951-955-7207
Practice Address - Street 1:3801 UNIVERSITY AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3247
Practice Address - Country:US
Practice Address - Phone:951-955-7108
Practice Address - Fax:951-955-7207
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker