Healthcare Provider Details

I. General information

NPI: 1174842033
Provider Name (Legal Business Name): PATRICIA L LAMB PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 03/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 NAPA VALLEJO HWY NAPA STATE HOSPITAL
NAPA CA
94558-6293
US

IV. Provider business mailing address

2100 NAPA VALLEJO HWY NAPA STATE HOSPITAL
NAPA CA
94558-6293
US

V. Phone/Fax

Practice location:
  • Phone: 707-253-5000
  • Fax: 707-253-5097
Mailing address:
  • Phone: 707-253-5000
  • Fax: 707-253-5097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 23453
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: