Provider Demographics
NPI:1902071574
Name:KEARNS, LEE ANTHONY (PSY D)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:ANTHONY
Last Name:KEARNS
Suffix:
Gender:M
Credentials:PSY D
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Mailing Address - Street 1:3525 COLBY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4782
Mailing Address - Country:US
Mailing Address - Phone:425-259-1366
Mailing Address - Fax:425-252-4778
Practice Address - Street 1:3525 COLBY AVE STE 200
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4782
Practice Address - Country:US
Practice Address - Phone:425-259-1366
Practice Address - Fax:425-252-4778
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist