Bowditch, Lee Kelly

Bowditch, Lee Kelly is an individual health care provider with primary practice located at 12420 Warwick Blvd Bldg. 7 Suite C, Newport News VA 23606-3001. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bowditch, Lee Kelly can be contacted via phone (757) 595-3900.

Contact Information

Primary practice address
12420 Warwick Blvd Bldg. 7 Suite C Newport News VA 23606-3001
Phone: (757) 595-3900
Fax: (757) 595-0649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701001247 Virginia

Profile Details

NPI number 1013940279
LBN Legal business name Bowditch, Lee Kelly
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013940279 NPPES
Virginia MEDICAID 5409128

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