Lee, Mary Bronwyn

Lee, Mary Bronwyn is an sole proprietor health care provider with primary practice located at 3205 Randall Pkwy Suite 105, Wilmington NC 28403-2564. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lee, Mary Bronwyn can be contacted via phone (910) 742-9243.

Contact Information

Primary practice address
3205 Randall Pkwy Suite 105 Wilmington NC 28403-2564
Phone: (910) 742-9243
Fax: (888) 746-1787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2864 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2864 North Carolina

Profile Details

NPI number 1508216516
LBN Legal business name Lee, Mary Bronwyn
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2016
Last updated Jun 21st, 2016 - about 10 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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