NPI 1114322815
Mandy Lee
Practice location
- Address
- 45 Trifecta Pl., Charles Town, WV 25414-4901
- Phone
- (304) 725-4536
- Mailing address
- 818 Marquette Dr, Martinsburg, WV 25401-7399
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1114322815
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Oct 2014
- Record last updated
- 24 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.