Provider Demographics
NPI:1699426395
Name:LEE, CHRISTIN LYNN (LPA)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:LYNN
Last Name:LEE
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6303 CANERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-3435
Mailing Address - Country:US
Mailing Address - Phone:409-739-4553
Mailing Address - Fax:
Practice Address - Street 1:6303 CANERIDGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-3435
Practice Address - Country:US
Practice Address - Phone:409-739-4553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38206103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical