Provider Demographics
NPI:1730398066
Name:VOEGLER-LEE, MARY ELLEN (PHD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:ELLEN
Last Name:VOEGLER-LEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:202 WESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2447
Mailing Address - Country:US
Mailing Address - Phone:919-933-2765
Mailing Address - Fax:919-966-7532
Practice Address - Street 1:FPG CHILD DEVELOPMENT INSTITUTE
Practice Address - Street 2:CB #8180
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-8180
Practice Address - Country:US
Practice Address - Phone:919-966-7167
Practice Address - Fax:919-966-7532
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3160103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3160OtherPSYCHOLOGIST LICENSE