Healthcare Provider Details

I. General information

NPI: 1053221374
Provider Name (Legal Business Name): WENDY LAMBERT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 S WAGNER RD
ANN ARBOR MI
48103-9715
US

IV. Provider business mailing address

3973 STARK LN
YPSILANTI MI
48197-9042
US

V. Phone/Fax

Practice location:
  • Phone: 734-664-1515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6851115120
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: