Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Bronwyn Lee, PHD

Individual provider Psychologist · NPI 1508216516

Mary Bronwyn Lee, PHD is a Clinical Psychologist in Wilmington, North Carolina. Qualified in 1981, 45 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
45
Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2564
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2864 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2864 (NC)

Record details

NPI number1508216516
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 21, 2016
Last updated in NPPESJune 21, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington