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NPI 1902176415

NPI 1902176415 : LAMBERT PSYCHOLOGY, PLLC : ADDISON, TX

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General NPI Number Information
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    NPI Number           |    1902176415
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAMBERT PSYCHOLOGY, PLLC 
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Dates
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    Enumeration Date     |    01/01/2012
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    Last Update Date     |    11/03/2024
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Provider Practice Location Address
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    Address Line         |    14275 MIDWAY RD STE 260 
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    City                 |    ADDISON
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    State                |    TX
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    Zip                  |    75001-3613
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    Country              |    US
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    Telephone            |    469-665-9445
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3465 NATIONAL DR STE 215 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75025-1095
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    Country              |    US
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    Telephone            |    972-987-5460
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    Fax                  |    855-437-2354
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Authorized Official
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    Title or Position    |    CEO/LICENSED PSYCHOLOGIST
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    Name                 |    DR. KEVIN C. LAMBERT 
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    Credential           |    PSY.D.
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    Telephone            |    469-665-9445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    33988
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    33988
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    33988
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    33988
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    License Number State |    TX
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Taxonomy #5
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    Taxonomy Code        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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    License Number       |    33988
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    License Number State |    TX
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