=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427443563
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NICOLE LAMPEL LCAT, ATR-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2015
-----------------------------------------------------
Last Update Date | 05/11/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 45 GORY BROOK RD FL 1
-----------------------------------------------------
City | SLEEPY HOLLOW
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10591-1701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-788-9877
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 45 GORY BROOK RD FL 1
-----------------------------------------------------
City | SLEEPY HOLLOW
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10591-1701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-788-9877
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | 001298
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------