Provider Demographics
NPI:1942350475
Name:LEBEL, DUG Y L (PHD)
Entity type:Individual
Prefix:DR
First Name:DUG
Middle Name:Y L
Last Name:LEBEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DUG
Other - Middle Name:Y
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:428 SOUTH MAIN ST
Mailing Address - Street 2:UNIT 1069 STE B
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7012
Mailing Address - Country:US
Mailing Address - Phone:404-480-0911
Mailing Address - Fax:
Practice Address - Street 1:2310 130TH AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1761
Practice Address - Country:US
Practice Address - Phone:206-569-8027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60415676103TC0700X
NC6337103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical