Healthcare Provider Details

I. General information

NPI: 1235513979
Provider Name (Legal Business Name): RANDI LYNN LAMPERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RANDI LYNN LAMPERT LMFT

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 09/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27201 TOURNEY RD 225
VALENCIA CA
91355-1854
US

IV. Provider business mailing address

27201 TOURNEY RD 225
VALENCIA CA
91355-1854
US

V. Phone/Fax

Practice location:
  • Phone: 661-713-6746
  • Fax:
Mailing address:
  • Phone: 661-713-6746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number82571
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: