Healthcare Provider Details

I. General information

NPI: 1710264007
Provider Name (Legal Business Name): JOY BETH LAMBERT SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 SWAN DR
BARTLESVILLE OK
74006-5037
US

IV. Provider business mailing address

6365 E 360 RD
TALALA OK
74080-3137
US

V. Phone/Fax

Practice location:
  • Phone: 918-336-8500
  • Fax: 918-336-8519
Mailing address:
  • Phone: 918-336-8500
  • Fax: 918-336-8519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1023
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: