Healthcare Provider Details

I. General information

NPI: 1245751163
Provider Name (Legal Business Name): AMANDA CLEWIS LAMBERT M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3837 LOYOLA DR
KENNER LA
70065-7703
US

IV. Provider business mailing address

3837 LOYOLA DR
KENNER LA
70065-7703
US

V. Phone/Fax

Practice location:
  • Phone: 504-233-4720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: