Healthcare Provider Details

I. General information

NPI: 1003514480
Provider Name (Legal Business Name): CHRISTINA KA-YI LAM PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 EL CAMINO REAL STE 120
MENLO PARK CA
94025-4884
US

IV. Provider business mailing address

700 EL CAMINO REAL STE 120
MENLO PARK CA
94025-4884
US

V. Phone/Fax

Practice location:
  • Phone: 650-249-3020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: